ELLIE GONYEAU
Nurse Practitioner
Active
Individual
NPI: 1114541976
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | RN2330144 (MA) |
| Nurse Practitioner | 363L00000X | Yes | RN2330144 (MA) |
Frequently Asked Questions
NPI 1114541976 is the National Provider Identifier for ELLIE GONYEAU, a Nurse Practitioner provider located in Boston, MA. This NPI was enumerated on June 7, 2020.
ELLIE GONYEAU practices at 300 BROOKLINE AVE, Boston, MA 02215.
Quick Facts
- NPI
- 1114541976
- Type
- Individual
- Enumerated
- Jun 7, 2020
- Last Updated
- Oct 18, 2023
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