Individual provider · Type 1 NPI
Destiny Evangeline Fillmore
Family Nurse Practitioner · Reading, MA
NPI number
1992479166
Active
Practice location
451 Lowell St
Reading, MA 01867-1533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2295954 (MA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN2295954 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1992479166
Destiny Evangeline Fillmore's National Provider Identifier is 1992479166, issued on Aug 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Reading, MA. The record was last updated on Feb 19, 2025.