Individual
MISS CAROLYN ELISABETH PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
930 COMMONWEALTH AVE, BOSTON, MA 02215-1274
(617) 414-6800
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-5404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2339306
MA
Other
Enumeration date
11/21/2022
Last updated
10/10/2024
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