Healthcare Provider Details

I. General information

NPI: 1053185827
Provider Name (Legal Business Name): LAUREN ELIAS DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2023
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 W BOYLSTON ST
WORCESTER MA
01605-1261
US

IV. Provider business mailing address

44 W BOYLSTON ST
WORCESTER MA
01605-1261
US

V. Phone/Fax

Practice location:
  • Phone: 508-852-0238
  • Fax: 508-926-6733
Mailing address:
  • Phone: 508-852-0238
  • Fax: 508-926-6733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2356590
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: