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NPI Code Detail

MEDICARE: EKATERINA FILATOV PMHNP

MEDICARE: EKATERINA FILATOV PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN2277004MA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerRN2277004MA

General Provider Information

NPI Number : 1548768435
Entity Type Code : Individual
Provider Name (Legal Business Name) : EKATERINA FILATOV PMHNP
Provider Business Mailing Address
First Line : 1500 BOSTON PROVIDENCE TPKE STE 20
Second Line :
City : NORWOOD
State : MA
Zip : 02062-4649
Country : US
Telephone Number : 508-206-8578
Fax Number : 866-470-6528
Provider Business Practice Location Address
First Line : 1500 BOSTON PROVIDENCE TPKE STE 20
Second Line :
City : NORWOOD
State : MA
Zip : 02062-4649
Country : US
Telephone Number : 508-206-8578
Fax Number : 866-470-6528
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2018
Last Update Date : 01/21/2026

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