Individual
PAUL KIPROTICH LANGAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 REVERE ST APT 2, REVERE, MA 02151-4603
(857) 413-9238
Mailing address
394 OCEAN AVE APT 315, REVERE, MA 02151-2672
(857) 413-9238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2304081
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2304081
MA
363LP2300X
Primary Care Nurse Practitioner
AG07230203
MA
Other
Enumeration date
06/04/2017
Last updated
06/18/2025
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