Individual
MR. NATHANIEL MINH DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(339) 241-3910
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(339) 241-3910
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2274266
MA
363LA2100X
Acute Care Nurse Practitioner
RN2274266
MA
Other
Enumeration date
08/14/2019
Last updated
03/07/2025
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