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ELISE GALVANIN-ELLSWORTH
NPI 1053092585
Nurse Practitioner - Family in Buzzards Bay, MA

Active since July 27, 2023
149 GRANVILLE DRIVE, OTIS AIR NATIONAL GUARD BASE, BUZZARDS BAY, MA 02542(508) 968-4091 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2024, Jul 27, 2023 (2 updates tracked since 2023).

About Elise Galvanin-ellsworth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISE GALVANIN-ELLSWORTH (NPI 1053092585) is an individual family provider in Buzzards Bay, Massachusetts, licensed in Massachusetts (RN2287535) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1053092585
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELISE GALVANIN-ELLSWORTH
Location Address149 GRANVILLE DRIVE, OTIS AIR NATIONAL GUARD BASEBuzzards Bay, MA 02542
Mailing Address149 Granville Drive, Otis Air National Guard BaseBuzzards Bay, MA 02542-1808
Phone(508) 968-4091
Sole ProprietorNo
Enumeration DateJuly 27, 2023
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1053092585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2287535
149 GRANVILLE DRIVE, Buzzards Bay, MA 02542
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Galvanin-ellsworth's NPI number?

The NPI number for Elise Galvanin-ellsworth is 1053092585. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Where is Elise Galvanin-ellsworth located?

Elise Galvanin-ellsworth practices at 149 Granville Drive Otis Air National Guard Base, Buzzards Bay, MA 02542. The listed phone number is (508) 968-4091.

What is Elise Galvanin-ellsworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elise Galvanin-ellsworth was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.