Phyllis Widbur Carlson in Roslindale - Registered Nurse
Phyllis Widbur Carlson - NPI 1154486603
Phyllis Widbur Carlson is a Registered Nurse in Roslindale, Massachusetts. Phyllis Widbur Carlson practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Phyllis Widbur Carlson is 1154486603. The last update date is 2007-07-08.
Phyllis Widbur Carlson's current location address is 15 Ravenna Rd, Roslindale, Massachusetts. You can contact this provider via phone number 6173256759. The mailing address for Phyllis Widbur Carlson is 15 Ravenna Rd, Roslindale, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Widbur Carlson |
|---|---|
| Address | 15 Ravenna Rd, Roslindale, Massachusetts |
| Phone Number | 6173256759 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1154486603 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 Ravenna Rd |
|---|---|
| City | Roslindale |
| State | Massachusetts (MA) |
| Post Code | 2131 |
| Phone Number | 6173256759 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | RN68987 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A025829 | MA | PACIFICARE | |
| 16412 | MA | UBH |
Post Comment/ Review Below
What is the Phyllis Widbur Carlson's unique identification number?
The Phyllis Widbur Carlson has been assigned the NPI (National Provider Identifier) Number 1154486603 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Phyllis Widbur Carlson's physical address?
The Phyllis Widbur Carlson is physically located at 15 Ravenna Rd, in the city of Roslindale, MA, with the postal code 2131.
What is Phyllis Widbur Carlson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Phyllis Widbur Carlson is Registered Nurse, and the corresponding taxonomy classification code for this specialized field is 163W00000X.
On what date was the 1154486603 assigned to Phyllis Widbur Carlson?
The Phyllis Widbur Carlson was issued its 1154486603 on 2006-12-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Phyllis Widbur Carlson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Phyllis Widbur Carlson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.