Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
75 FENWOOD RD
BOSTON, MA 02115-6103 US
PECOS Enrolled

Derick Yensila Ngoran

Nurse Practitioner (Psych/Mental Health)


Derick Yensila Ngoran

Overview

Derick Yensila Ngoran is a Nurse Practitioner (Psych/Mental Health) in the BOSTON area. Derick Yensila Ngoran primary office location is at 75 FENWOOD RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1932719135 and the information was updated approximately 2 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
75 FENWOOD RD
BOSTON, MA 02115-6103 US
Phone: (617)-626-9654
Fax:
Practice Mailing Information
620 8TH AVE
TERRE HAUTE, IN 02115-6103 US
Phone: (812)-231-8323
Fax: (812)-231-8400
License NumberState
71010501AIN
R43593ND
RN2365217MA

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