Individual
MS. TIFFANY PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 FRANCIS ST., BOSTON, MA 02215
(617) 632-9964
Mailing address
110 FRANCIS ST. SUITE 5A, BOSTON, MA 02215
(617) 632-9964
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN282381
MA
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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