Individual provider · Type 1 NPI
Ann Osamudiaimen Irorere, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Brockton, MA
NPI number
1114203767
Active
Practice location
155 South Leyden St
Brockton, MA 02302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | N2257719 (MA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2257719 (MA) |
| Registered Nurse | 163W00000X | RN2257719 (MA) |
| Adult Health Nurse Practitioner | 363LA2200X | RN2257719 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114203767
Ann Osamudiaimen Irorere, NURSE PRACTITIONER's National Provider Identifier is 1114203767, issued on Oct 27, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brockton, MA. The record was last updated on Jan 2, 2024.