NPI 1043777808 · live from the CMS NPI Registry
Elise Kathleen Berrada, CNP
Nurse Practitioner in Boston, MA. National Provider Identifier 1043777808, active.
NPI record
| NPI | 1043777808 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 300 Longwood Ave, Boston, MA 02115 |
| Practice phone | 617-355-7800 |
| Mailing address | 7 Seaport Dr Apt 525, Quincy, MA 02171 |
| Enumerated | February 27, 2019 |
| Last updated | February 12, 2024 |
| Sole proprietor | No |
| Other names | Elise Burge |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | RN2279400 (MA) |
| Nurse Practitioner, Pediatrics | 363LP0200X | RN2279400 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.