Individual
MS. CAROL REGINA PILGRIM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER, SHAPIRO 9, BOSTON, MA 02215-5400
(617) 667-9943
(617) 667-1020
Mailing address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER, SHAPIRO 9, BOSTON, MA 02215-5400
(617) 667-9943
(617) 667-1020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
259240-NP
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0708721
—
MA
Enumeration date
05/26/2006
Last updated
07/09/2007
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