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Individual

MR. PHILIP GUY AMISANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N. B.S.N. C.M.T.

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
168148
MA
163WD0400X
Diabetes Educator Registered Nurse
168148
MA
163WG0000X
General Practice Registered Nurse
168148
MA
163WM1400X
Nurse Massage Therapist (NMT)
168148
MA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
168148
MA
163WP0808X
Psychiatric/Mental Health Registered Nurse
168148
MA

Other

Enumeration date
02/27/2007
Last updated
09/11/2025
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