Provider Demographics
NPI:1972649713
Name:PALANA-PILAPIL, ELIZABETH V (ARNP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:V
Last Name:PALANA-PILAPIL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 COACH LN
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-6637
Mailing Address - Country:US
Mailing Address - Phone:781-329-2734
Mailing Address - Fax:
Practice Address - Street 1:83 LITTLEFIELD RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-3010
Practice Address - Country:US
Practice Address - Phone:617-928-1530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA162487363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP1173OtherBCBS
MANP1173Medicare ID - Type Unspecified