Individual
MINNA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
725 ALBANY ST STE 7B, SHAPIRO BLDG., BOSTON, MA 02118-3549
(617) 638-8456
(617) 638-8465
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2358513
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110199270A
—
MA
Enumeration date
11/16/2022
Last updated
11/17/2023
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