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NPI Profile for DOREEN K BOATENG in NEWPORT NEWS, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI Number | 1467151373 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/28/2023 | |
| Last updated | 10/05/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DOREEN K BOATENG
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DOREEN K BOATENG