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NPI Code Detail

MEDICARE: MR. HENRY NTORO SR.

MEDICARE: MR. HENRY NTORO SR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN064237-23NH
2363LP0808XPsychiatric/Mental Health Nurse Practitioner2015020950MA

General Provider Information

NPI Number : 1740635283
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HENRY NTORO SR.
Provider Business Mailing Address
First Line : 300 BAKER AVE STE 300
Second Line :
City : CONCORD
State : MA
Zip : 01742-2124
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 BAKER AVE STE 300
Second Line :
City : CONCORD
State : MA
Zip : 01742-2124
Country : US
Telephone Number : 978-627-3929
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2016
Last Update Date : 02/27/2024

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