Individual provider · Type 1 NPI
Ifeoma Ogbonna
Psychiatric/Mental Health Nurse Practitioner · West Springfield, MA
NPI number
1801203104
Active
Practice location
103 Myron St, Suite A
West Springfield, MA 01089-1598
Fax (413) 439-0100
Mailing address
49 George H Gillespie Way
Abington, MA 02351-2199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2271996 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1801203104
Ifeoma Ogbonna's National Provider Identifier is 1801203104, issued on Jul 18, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Springfield, MA. The record was last updated on Jul 18, 2014.