Doctor Name: | NINA E. PINGER |
NPI Number: | 1023032166 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN,BC |
License Number: | 155102 |
Business Practice Address: | 151 Mystic Ave Ste 6 Dcs Mental Health Medford, MA - 021554632 |
Business Phone Number: | 7813961199 |
Business Fax Number: | |
Mailing Address: | Po Box 189, GOSHEN |
State: | MA |
Postal Code: | 010320189 |
Phone Number: | 4132683655 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 06/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0808X |
License Number: | 155102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |