Active NPIIndividual provider

Samuel Boateng, CRNP

Nurse Practitioner, Family in Pittsfield, Massachusetts

NPI Number1790162527
Practice location
999 Dalton Ave, Pittsfield, MA 01201-2903
Fax
—
Last updated
February 9, 2019

Samuel Boateng is a Nurse Practitioner, Family based in Pittsfield, MA. Samuel Boateng practices in Pittsfield, MA and has the professional credentials of CRNP. The NPI Number for Samuel Boateng is 1790162527 and holds a License No. F0415163 (MD). The current practice location address for Samuel Boateng is 999 Dalton Ave, Pittsfield, MA 01201-2903 and can be reached out via phone at 413-448-6231.

Provider Profile Details

NPI Number
1790162527
Provider Name
Samuel Boateng
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
999 Dalton Ave, Pittsfield, MA 01201-2903
Phone Number
413-448-6231
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
April 30, 2015
Last Update Date
February 9, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
999 Dalton Ave
Pittsfield, MA 01201-2903
Zip
01201-2903
Phone Number
413-448-6231
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
515 Fairmount Ave
Towson, MD 21286-5466
City
Towson
State
MD
Zip
21286-5466
Phone Number
301-758-2350

License Information

License Number (1)
F0415163
License State (1)
MD
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
RN2316205
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Samuel Boateng, CRNP?

The NPI number of Samuel Boateng, CRNP is 1790162527. It was assigned on April 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Samuel Boateng, CRNP?

Samuel Boateng, CRNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MD under license number F0415163.

Where does Samuel Boateng, CRNP practice?

The practice location is 999 Dalton Ave, Pittsfield, MA 01201-2903. The office can be reached at 413-448-6231 (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 1790162527 directly on the NPPES registry website.

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