Active NPIIndividual provider

Elise Galvanin-Ellsworth

Nurse Practitioner, Family in Buzzards Bay, Massachusetts

NPI Number1053092585
Practice location
149 Granville Drive, Otis Air National Guard Base, Buzzards Bay, MA 02542
Fax
—
Last updated
February 8, 2024

Elise Galvanin-Ellsworth is a Nurse Practitioner, Family based in Buzzards Bay, MA. Elise Galvanin-Ellsworth practices in Buzzards Bay, MA. The NPI Number for Elise Galvanin-Ellsworth is 1053092585 and holds a License No. RN2287535 (MA). The current practice location address for Elise Galvanin-Ellsworth is 149 Granville Drive, Otis Air National Guard Base, Buzzards Bay, MA 02542 and can be reached out via phone at 508-968-4091.

Provider Profile Details

NPI Number
1053092585
Provider Name
Elise Galvanin-Ellsworth
Provider Entity Type
Individual
Gender
Female
Address
149 Granville Drive, Otis Air National Guard Base, Buzzards Bay, MA 02542
Phone Number
508-968-4091
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2023
Last Update Date
February 8, 2024
Certification Date
February 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
149 Granville Drive
Otis Air National Guard Base
Buzzards Bay, MA 02542
Zip
02542
Phone Number
508-968-4091
Buzzards Bay, MA 02542Get directions →

Provider Business Mailing Address Details

Address
149 Granville Drive
Otis Air National Guard Base
Buzzards Bay, MA 02542-1808
City
Buzzards Bay
State
MA
Zip
02542-1808

License Information

License Number
RN2287535
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elise Galvanin-Ellsworth?

The NPI number of Elise Galvanin-Ellsworth is 1053092585. It was assigned on July 27, 2023 and is currently active in the NPPES registry.

What is the specialty of Elise Galvanin-Ellsworth?

Elise Galvanin-Ellsworth is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2287535.

Where does Elise Galvanin-Ellsworth practice?

The practice location is 149 Granville Drive, Otis Air National Guard Base, Buzzards Bay, MA 02542. The office can be reached at 508-968-4091 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053092585 directly on the NPPES registry website.

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