Individual provider · Type 1 NPI
Ellery Spencer, DNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1689470916
Active
Practice location
330 Brookline Ave
Boston, MA 02215-5491
Mailing address
20 Oak Grove Ave Unit 111
Melrose, MA 02176-6127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2301049 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1689470916
Ellery Spencer, DNP's National Provider Identifier is 1689470916, issued on Feb 19, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Feb 19, 2025.