Individual
CARMEN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 ELM ST, SOMERVILLE, MA 02144-2951
(617) 666-9577
Mailing address
33 WESTMINSTER AVE, ARLINGTON, MA 02474-2732
(617) 953-7250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN251726
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN251726
MA LICENSE
MA
Enumeration date
05/12/2014
Last updated
03/30/2016
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