Individual provider · Type 1 NPI

Mary-Ellin Moore, FNP

Family Nurse Practitioner · Newton, MA

NPI number 1689618720 Active

Practice location

83 Littlefield Rd
Newton, MA 02459-3010

Fax (617) 928-1531

Mailing address

48 Maverick St
Dedham, MA 02026-2436

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X160595 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1689618720

Mary-Ellin Moore, FNP's National Provider Identifier is 1689618720, issued on Jun 16, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newton, MA. The record was last updated on Jul 9, 2007.