Individual provider · Type 1 NPI
Edwin Japheth Agbonavbare, CNP
Psychiatric/Mental Health Nurse Practitioner · Peabody, MA
NPI number
1386007631
Active
Practice location
100 Corporate Pl Ste 303
Peabody, MA 01960-3809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 406565 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2277840 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1386007631
Edwin Japheth Agbonavbare, CNP's National Provider Identifier is 1386007631, issued on Apr 4, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Peabody, MA. The record was last updated on Dec 10, 2024.