Provider Demographics
NPI:1497317531
Name:SAAD, ELYSSAR (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ELYSSAR
Middle Name:
Last Name:SAAD
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 W CENTRAL ST STE 301
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3110
Mailing Address - Country:US
Mailing Address - Phone:508-528-2700
Mailing Address - Fax:
Practice Address - Street 1:1280 W CENTRAL ST STE 301
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3110
Practice Address - Country:US
Practice Address - Phone:508-528-2700
Practice Address - Fax:508-528-5759
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2301011363L00000X
MAPENDING363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner