Individual
PHYLLIS CHINYANGA-EDOUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
451 ANDOVER ST STE 110, NORTH ANDOVER, MA 01845-5069
(978) 794-2000
(978) 794-2007
Mailing address
35 UNITED DR STE 102, WEST BRIDGEWATER, MA 02379-1056
(508) 238-8646
(508) 230-9772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN259006
MA
363LA2100X
Acute Care Nurse Practitioner
259006
MA
Other
Enumeration date
05/04/2017
Last updated
04/18/2023
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