Individual provider · Type 1 NPI
Mary Ellen Smith, NP
Psychiatric/Mental Health Nurse Practitioner · Boston, MA
NPI number
1851495006
Active
Practice location
One Boston Medical Center Place
Boston, MA 02118
Fax (617) 638-6836
Mailing address
720 Harrison Ave, Dob 503
Boston, MA 02186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 173162 (MA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 173162 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1851495006
Mary Ellen Smith, NP's National Provider Identifier is 1851495006, issued on Sep 9, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boston, MA. The record was last updated on Oct 24, 2017.