Individual provider · Type 1 NPI

Soo H. Ko, AGNP

Gerontology Nurse Practitioner · East Boston, MA

NPI number 1114673092 Active

Practice location

10 Gove St
East Boston, MA 02128-1931

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN2326883 (MA)
Gerontology Nurse Practitioner Primary 363LG0600XRN2326883 (MA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1114673092

Soo H. Ko, AGNP's National Provider Identifier is 1114673092, issued on Mar 1, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in East Boston, MA. The record was last updated on Jan 19, 2024.