Individual provider · Type 1 NPI
Ty Thi Iancovici, FNP-C
Family Nurse Practitioner · East Boston, MA
NPI number
1245697754
Active
Practice location
10 Gove St
East Boston, MA 02128-1920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN2262113 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1245697754
Ty Thi Iancovici, FNP-C's National Provider Identifier is 1245697754, issued on Jan 28, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East Boston, MA. The record was last updated on Mar 26, 2019.