| NPI | 1033358536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA NWACHUKWU CEO 781-562-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 184424) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 184437) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 194268) | |
| Enumeration Date | 2009-02-07 |
| Last Update Date | 2024-03-04 |