Individual provider · Type 1 NPI
Ricky Pamphile, NP
Gerontology Nurse Practitioner · Boston, MA
NPI number
1356977193
Active
Practice location
75 Francis St
Boston, MA 02115-6110
Mailing address
49 Tiffany Dr
Randolph, MA 02368-5184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN2276083 (MA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1356977193
Ricky Pamphile, NP's National Provider Identifier is 1356977193, issued on Mar 12, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Boston, MA. The record was last updated on Mar 12, 2020.