Soo H Ko, AGNP
Nurse Practitioner, Gerontology in East Boston, Massachusetts
1114673092- Practice location
- 10 Gove St, East Boston, MA 02128-1931
- Phone
- 617-569-5899
- Fax
- —
- Last updated
- January 19, 2024
Soo H Ko is a Nurse Practitioner, Gerontology based in East Boston, MA. Soo H Ko practices in East Boston, MA and has the professional credentials of AGNP. The NPI Number for Soo H Ko is 1114673092 and holds a License No. RN2326883 (MA). The current practice location address for Soo H Ko is 10 Gove St, East Boston, MA 02128-1931 and can be reached out via phone at 617-569-5899.
Provider Profile Details
- NPI Number
- 1114673092
- Provider Name
- Soo H Ko
- Credential
- AGNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Gove St, East Boston, MA 02128-1931
- Phone Number
- 617-569-5899
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 1, 2022
- Last Update Date
- January 19, 2024
- Certification Date
- January 19, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Gove St
East Boston, MA 02128-1931 - City
- East Boston
- State
- Massachusetts
- Zip
- 02128-1931
- Phone Number
- 617-569-5899
Provider Business Mailing Address Details
- Address
- 10 Gove St
East Boston, MA 02128-1931 - City
- East Boston
- State
- MA
- Zip
- 02128-1931
- Phone Number
- 617-569-5899
License Information
- License Number (1)
- RN2326883
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- RN2326883
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Gerontology providers near East Boston, MA
View all Nurse Practitioner, Gerontology providers in East Boston →- Bethany A Sanders, CNPNurse Practitioner, Gerontology · NPI 1417308750
- Celia M Bora, CNPNurse Practitioner, Gerontology · NPI 1861057879
- Erin M Walsh-Mulkerrin, CNPNurse Practitioner, Gerontology · NPI 1598443863
- Jennalin C Melaragno, NPNurse Practitioner, Gerontology · NPI 1174932560
- Joan W Kamata, CNP, DNPNurse Practitioner, Gerontology · NPI 1740765650
- Mary A Breen, NPNurse Practitioner, Gerontology · NPI 1366691297
Frequently Asked Questions
What is the NPI number of Soo H Ko, AGNP?
The NPI number of Soo H Ko, AGNP is 1114673092. It was assigned on March 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Soo H Ko, AGNP?
Soo H Ko, AGNP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number RN2326883.
Where does Soo H Ko, AGNP practice?
The practice location is 10 Gove St, East Boston, MA 02128-1931. The office can be reached at 617-569-5899 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114673092 directly on the NPPES registry website.