Ty T Iancovici, FNP-C
Nurse Practitioner, Family in East Boston, Massachusetts
1245697754- Practice location
- 10 Gove St, East Boston, MA 02128-1920
- Phone
- 617-569-5800
- Fax
- —
- Last updated
- March 26, 2019
Ty Thi Iancovici is a Nurse Practitioner, Family based in East Boston, MA. Ty Thi Iancovici practices in East Boston, MA and has the professional credentials of FNP-C. The NPI Number for Ty Thi Iancovici is 1245697754 and holds a License No. rn2262113 (MA). The current practice location address for Ty Thi Iancovici is 10 Gove St, East Boston, MA 02128-1920 and can be reached out via phone at 617-569-5800.
Provider Profile Details
- NPI Number
- 1245697754
- Provider Name
- Ty Thi Iancovici
- Credential
- FNP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Gove St, East Boston, MA 02128-1920
- Phone Number
- 617-569-5800
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 28, 2016
- Last Update Date
- March 26, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Gove St
East Boston, MA 02128-1920 - City
- East Boston
- State
- Massachusetts
- Zip
- 02128-1920
- Phone Number
- 617-569-5800
Provider Business Mailing Address Details
- Address
- 10 Gove St
East Boston, MA 02128-1920 - City
- East Boston
- State
- MA
- Zip
- 02128-1920
- Phone Number
- 617-569-5800
License Information
- License Number
- rn2262113
- License State
- MA
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ty T Iancovici, FNP-C?
The NPI number of Ty T Iancovici, FNP-C is 1245697754. It was assigned on January 28, 2016 and is currently active in the NPPES registry.
What is the specialty of Ty T Iancovici, FNP-C?
Ty T Iancovici, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number rn2262113.
Where does Ty T Iancovici, FNP-C practice?
The practice location is 10 Gove St, East Boston, MA 02128-1920. The office can be reached at 617-569-5800 (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 1245697754 directly on the NPPES registry website.