Provider Demographics
NPI:1629120407
Name:SITRON, ELLEN CREAMER (APN)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:CREAMER
Last Name:SITRON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:ELLEN
Other - Middle Name:MARGARET
Other - Last Name:CREAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:14 WOODBURY ST
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-1038
Mailing Address - Country:US
Mailing Address - Phone:978-281-3748
Mailing Address - Fax:
Practice Address - Street 1:124 PROFESSORS ROW
Practice Address - Street 2:TUFTS UNIVERSITY HEALTH SERVICES
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155
Practice Address - Country:US
Practice Address - Phone:617-625-3350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA148284363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health