Individual provider · Type 1 NPI

Henrietta Imade Idumwonyi, BSN, RN

Registered Nurse · Boston, MA

NPI number 1538628342 Active

Practice location

66 Canal St
Boston, MA 02114-2002

Mailing address

301 Central St
Avon, MA 02322-1532

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN2330913 (MA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1538628342

Henrietta Imade Idumwonyi, BSN, RN's National Provider Identifier is 1538628342, issued on Mar 19, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Boston, MA. The record was last updated on Mar 19, 2019.