Active NPIIndividual provider

Isaac Ndungu, CNP

Nurse Practitioner, Gerontology in West Springfield, Massachusetts

NPI Number1174900690
Practice location
103 Myron St, Suite A, West Springfield, MA 01089-1598
Fax
413-439-0100
Last updated
May 5, 2015

Isaac Ndungu is a Nurse Practitioner, Gerontology based in West Springfield, MA. Isaac Ndungu practices in West Springfield, MA and has the professional credentials of CNP. The NPI Number for Isaac Ndungu is 1174900690 and holds a License No. RN2283072 (MA). The current practice location address for Isaac Ndungu is 103 Myron St, Suite A, West Springfield, MA 01089-1598 and can be reached out via phone at 413-592-1980 and via fax at 413-439-0100.

Provider Profile Details

NPI Number
1174900690
Provider Name
Isaac Ndungu
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
103 Myron St, Suite A, West Springfield, MA 01089-1598
Phone Number
413-592-1980
Fax Number
413-439-0100
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
May 5, 2015
Last Update Date
May 5, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Myron St
Suite A
West Springfield, MA 01089-1598
Zip
01089-1598
Phone Number
413-592-1980
Fax Number
413-439-0100
West Springfield, MA 01089Get directions →

Provider Business Mailing Address Details

Address
103 Myron St
Suite A
West Springfield, MA 01089-1598
City
West Springfield
State
MA
Zip
01089-1598
Phone Number
413-592-1980

License Information

License Number (1)
RN2283072
License State (1)
MA
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
RN2283072
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Isaac Ndungu, CNP?

The NPI number of Isaac Ndungu, CNP is 1174900690. It was assigned on May 5, 2015 and is currently active in the NPPES registry.

What is the specialty of Isaac Ndungu, CNP?

Isaac Ndungu, CNP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number RN2283072.

Where does Isaac Ndungu, CNP practice?

The practice location is 103 Myron St, Suite A, West Springfield, MA 01089-1598. The office can be reached at 413-592-1980 (phone) or 413-439-0100 (fax).

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 1174900690 directly on the NPPES registry website.

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