Active NPIIndividual provider

Ms. Ellen R Lundin, RN

Registered Nurse, Psych/Mental Health, Adult in Brockton, Massachusetts

NPI Number1922700012
Practice location
680 Centre Street, Brockton, MA 02302
Fax
—
Last updated
March 21, 2023

Ellen Rae Lundin is a Registered Nurse, Psych/Mental Health, Adult based in Brockton, MA. Ellen Rae Lundin practices in Brockton, MA and has the professional credentials of RN. The NPI Number for Ellen Rae Lundin is 1922700012 and holds a License No. RN118852 (MA). The current practice location address for Ellen Rae Lundin is 680 Centre Street, Brockton, MA 02302 and can be reached out via phone at 508-941-7000.

Provider Profile Details

NPI Number
1922700012
Provider Name
Ellen Rae Lundin
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
680 Centre Street, Brockton, MA 02302
Phone Number
508-941-7000
Primary Taxonomy
Registered Nurse, Psych/Mental Health, Adult · 163WP0809X
Sole Proprietor
No
Other Names
Ms. Ellen Rae Stein (Other Name)
Provider Enumeration Date
March 21, 2023
Last Update Date
March 21, 2023
Certification Date
March 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
680 Centre Street
Brockton, MA 02302
Zip
02302
Phone Number
508-941-7000
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
60 Dean Street
South Easton, MA 02375
City
South Easton
State
MA
Zip
02375
Phone Number
508-577-9516

License Information

License Number (1)
RN118852
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN118852
License State (2)
MA
Taxonomy (2)
Registered Nurse, Emergency · 163WE0003X
License Number (3)
RN118852
License State (3)
MA
Taxonomy (3)
Registered Nurse, Psych/Mental Health, Adult · 163WP0809X · 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 Ms. Ellen R Lundin, RN?

The NPI number of Ms. Ellen R Lundin, RN is 1922700012. It was assigned on March 21, 2023 and is currently active in the NPPES registry.

What is the specialty of Ms. Ellen R Lundin, RN?

Ms. Ellen R Lundin, RN is registered under the primary taxonomy Registered Nurse, Psych/Mental Health, Adult (code 163WP0809X), licensed in MA under license number RN118852.

Where does Ms. Ellen R Lundin, RN practice?

The practice location is 680 Centre Street, Brockton, MA 02302. The office can be reached at 508-941-7000 (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 1922700012 directly on the NPPES registry website.

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