Individual
IVY KWANOR OPOKU-MENSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AANP, NP
Contact information
Practice address
732 HARRISON AVE FL 2, BOSTON, MA 02118-2309
(617) 638-7470
(617) 638-7449
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN01450
RI
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2299208
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110120280A
—
MA
05
—
3140368
—
NH
Enumeration date
02/06/2016
Last updated
04/10/2024
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