Elena Climov, FNP

Individual provider Active NPI Family Nurse Practitioner · Northborough, MA

NPI 1982155941 · NPPES record last updated Jan 7, 2017

Key facts

NPI
1982155941
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN2291918 (MA)
Practice address
24 W Main St
Northborough, MA 01532-1910
Phone
(508) 393-6027
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2291918 MA Yes

Addresses

Primary practice location

24 W Main St
Northborough, MA 01532-1910

Mailing address

95 Marshall St
Apt 2
Watertown, MA 02472-4709
Phone (339) 222-8802

Other providers in Northborough, MA

All providers in Northborough, MA · Family Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.