Individual provider · Type 1 NPI

Ingrid Long Yun Ma, NP

Gerontology Nurse Practitioner · Boston, MA

NPI number 1689339574 Active

Practice location

801 Massachusetts Ave, Suite 6A, Crosstown Bldg
Boston, MA 02118

Fax (617) 414-9201

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XRN2337453 (MA)
Gerontology Nurse Practitioner Primary 363LG0600XRN2337453 (MA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1689339574

Ingrid Long Yun Ma, NP's National Provider Identifier is 1689339574, issued on Nov 4, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Boston, MA. The record was last updated on Aug 14, 2024.