Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | APRN02641 | RI |
NPI | 1083299499 |
---|---|
Provider Name | Edith Yeboah |
First Address | North Andover, MA 01845-5079 |
Second Address | North Andover, MA 01845-5079 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2021 |
Last Update Date | 23/04/2021 |