Individual
HELENA NAOMI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
578 MAIN ST, MALDEN, MA 02148-3900
(781) 620-4832
Mailing address
578 MAIN ST, MALDEN, MA 02148-3900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
248385
TN
163W00000X
Registered Nurse
RN2361253
MA
363L00000X
Nurse Practitioner
31308
TN
363L00000X
Nurse Practitioner
Primary
RN2361253
MA
Other
Enumeration date
03/09/2022
Last updated
05/17/2022
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