Individual
KEILA CASILLAS CLAUDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
400 SHAWMUT AVE, BOSTON, MA 02118-2006
(617) 587-1900
(617) 587-1901
Mailing address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
(617) 425-2002
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
363LF0000X
Family Nurse Practitioner
26NJ00675800
NJ
363LF0000X
Family Nurse Practitioner
Primary
RN2298448
MA
Other
Enumeration date
07/22/2011
Last updated
09/12/2024
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