Ilan Millstrom, RN
Nurse Practitioner, Psych/Mental Health in Charlestown, Massachusetts
1932900396- Practice location
- 2 Constitution Plz, Charlestown, MA 02129-2021
- Phone
- 617-724-9852
- Fax
- —
- Last updated
- March 21, 2025
Ilan Millstrom is a Nurse Practitioner, Psych/Mental Health based in Charlestown, MA. Ilan Millstrom practices in Charlestown, MA and has the professional credentials of RN. The NPI Number for Ilan Millstrom is 1932900396 and holds a License No. RN2391393 (MA). The current practice location address for Ilan Millstrom is 2 Constitution Plz, Charlestown, MA 02129-2021 and can be reached out via phone at 617-724-9852.
Provider Profile Details
- NPI Number
- 1932900396
- Provider Name
- Ilan Millstrom
- Credential
- RN
- Provider Entity Type
- Individual
- Address
- 2 Constitution Plz, Charlestown, MA 02129-2021
- Phone Number
- 617-724-9852
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 21, 2025
- Last Update Date
- March 21, 2025
- Certification Date
- March 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Constitution Plz
Charlestown, MA 02129-2021 - City
- Charlestown
- State
- Massachusetts
- Zip
- 02129-2021
- Phone Number
- 617-724-9852
Provider Business Mailing Address Details
- Address
- Po Box 440031
Somerville, MA 02144-0001 - City
- Somerville
- State
- MA
- Zip
- 02144-0001
- Phone Number
- 646-450-2495
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- RN2391393
- License State (2)
- MA
- Taxonomy (2)
- Registered Nurse · 163W00000X
- License Number (3)
- RN2391393
- License State (3)
- MA
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ilan Millstrom, RN?
The NPI number of Ilan Millstrom, RN is 1932900396. It was assigned on March 21, 2025 and is currently active in the NPPES registry.
What is the specialty of Ilan Millstrom, RN?
Ilan Millstrom, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2391393.
Where does Ilan Millstrom, RN practice?
The practice location is 2 Constitution Plz, Charlestown, MA 02129-2021. The office can be reached at 617-724-9852 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932900396 directly on the NPPES registry website.