Healthcare Provider Details

I. General information

NPI: 1255336145
Provider Name (Legal Business Name): ELLEN OCHS RN, PCNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 INKBERRY LN
PLYMOUTH MA
02360-3637
US

IV. Provider business mailing address

26 INKBERRY LN
PLYMOUTH MA
02360-3637
US

V. Phone/Fax

Practice location:
  • Phone: 617-686-0502
  • Fax:
Mailing address:
  • Phone: 617-686-0502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number183538
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: