Individual
DERICK YENSILA NGORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 FENWOOD RD, BOSTON, MA 02115-6103
(617) 626-9654
(617) 626-9531
Mailing address
620 8TH AVE, TERRE HAUTE, IN 47804-2771
(812) 231-8323
(812) 231-8400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71010501A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R43593
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2365217
MA
Other
Enumeration date
08/04/2020
Last updated
12/12/2023
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