Miadette Pheng-Phal, NP-C Valid NPI

Individual provider · Primary Care Nurse Practitioner · Lynn, MA

NPI

1073044616

Type

Individual (Type 1)

Primary specialty

Primary Care Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP2300X

License number

RN2270203 (MA)

Sex

Female

Sole proprietor

No

Enumerated

2017-03-24

Last updated

2017-03-24