Derick Yensila Ngoran
Derick Yensila Ngoran is a Psychiatric/Mental Health Nurse Practitioner in Boston, Massachusetts. Licensed in Indiana, Massachusetts and North Dakota. Registered with an NPI since 2020.
- Licensed in
- IN, MA, ND
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
75 Fenwood RdBoston, MA 02115-6103
Phone: (617) 626-9654
Fax: (617) 626-9531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence RN2365217 (MA) |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 71010501A (IN) |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence R43593 (ND) |
Record details
| NPI number | 1932719135 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 4, 2020 |
| Last updated in NPPES | December 12, 2023 |
| Certification date | December 12, 2023 |
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Marguerite Murphy, APRN, BC
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Mr. Rosevelt Salvatore Nwokeji, PMHNP-BC
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