Individual
EDNA PHIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
107 MILLET ST, DORCHESTER, MA 02124-1813
(617) 825-5644
Mailing address
107 MILLET ST, DORCHESTER, MA 02124-1813
(617) 825-5644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN251756
MA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN251756
MA
Other
Enumeration date
03/24/2012
Last updated
03/24/2012
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