Individual
INGRID L PHILEMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
300 SOUTH ST, CHESTNUT HILL, MA 02467-3658
(774) 444-4586
Mailing address
135 SHORT ST, BROCKTON, MA 02302-2662
(774) 444-4586
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG07230189
MA
Other
Enumeration date
08/14/2023
Last updated
01/21/2025
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