Most Relevant Information
Provider Data
| NPI Number: | 1003459371 |
| Provider Name: | ELIZABETH CONNELLY KUDZMA DNSC MPH WHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LW0102X |
| Specialty: | Nurse Practitioner |
| License Number: | 96723 |
Most Important Dates
| Enumeration Date: | 10/19/2019 |
| Last Updated: | 10/19/2019 |
Provider Practice Location
514 HOLLY RD
MARSHFIELD
MA
020501775
Practice Location Phone/Fax
| Phone: | 7818371095 |
| Fax: |
Provider Mailing Location
514 HOLLY RD
MARSHFIELD
MA
020501775
Provider Mailing Phone/Fax
| Phone: | 7818371095 |
| Fax: |