Individual
ISHNANE EDINE GUILLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 2284308
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2284308
MA
Other
Enumeration date
06/28/2013
Last updated
09/07/2016
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