Provider Demographics
NPI:1629345921
Name:GELMAN, MARCY S (ANP)
Entity Type:Individual
Prefix:MS
First Name:MARCY
Middle Name:S
Last Name:GELMAN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1340 BOYLSTON STREET
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-927-6021
Mailing Address - Fax:617-267-0765
Practice Address - Street 1:1340 BOYLSTON STREET
Practice Address - Street 2:8TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-927-6021
Practice Address - Fax:617-267-0765
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN209162363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner