Whitlock, Mary Elizabeth

Whitlock, Mary Elizabeth is an sole proprietor health care provider with primary practice located at 330 Brookline Ave , Boston MA 02215. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Hospitals / Children. Hospitals / Children is her primary health care specialty. Whitlock, Mary Elizabeth can be contacted via phone (617) 667-4042.

Contact Information

Primary practice address
330 Brookline Ave Boston MA 02215
Phone: (617) 667-4042
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X RN169645 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X RN169645 Massachusetts
Hospitals / Children 282NC2000X RN169645 Massachusetts

Profile Details

NPI number 1588959670
LBN Legal business name Whitlock, Mary Elizabeth
Credentials NNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2011
Last updated Nov 16th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588959670 NPPES
Massachusetts MEDICAID 110091271A

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