Most Relevant Information
Provider Data
| NPI Number: | 1003696550 |
| Provider Name: | ELIZABETH BLOCKER WHNP-BC, RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN2361528 |
Most Important Dates
| Enumeration Date: | 10/03/2023 |
| Last Updated: | 12/04/2023 |
Provider Practice Location
42 SAINT JOHN ST # 2
JAMAICA PLAIN
MA
021302534
Practice Location Phone/Fax
| Phone: | 3477216962 |
| Fax: |
Provider Mailing Location
42 SAINT JOHN ST # 2
JAMAICA PLAIN
MA
021302534
Provider Mailing Phone/Fax
| Phone: | 3477216962 |
| Fax: |