Healthcare Provider Details

I. General information

NPI: 1245229988
Provider Name (Legal Business Name): ELAINE MCGRANE OLMSTEAD RN PMHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELAINE LINDA MCGRANE RN MS CS

II. Dates (important events)

Enumeration Date: 10/16/2005
Last Update Date: 03/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 GREAT RD
ACTON MA
01720-3415
US

IV. Provider business mailing address

18 KINSLEY RD
ACTON MA
01720-2808
US

V. Phone/Fax

Practice location:
  • Phone: 978-263-0439
  • Fax:
Mailing address:
  • Phone: 978-263-4320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number158892
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: