Active NPIIndividual provider

Ambrose E Egbokhan

Nurse Practitioner, Psych/Mental Health in Worcester, Massachusetts

NPI Number1255168878
Practice location
309 Belmont St, Worcester, MA 01604-1059
Fax
—
Last updated
September 17, 2024

Ambrose Ehinor Egbokhan is a Nurse Practitioner, Psych/Mental Health based in Worcester, MA. Ambrose Ehinor Egbokhan practices in Worcester, MA. The NPI Number for Ambrose Ehinor Egbokhan is 1255168878 and holds a License No. RN2310592 (MA). The current practice location address for Ambrose Ehinor Egbokhan is 309 Belmont St, Worcester, MA 01604-1059 and can be reached out via phone at 508-368-4702.

Provider Profile Details

NPI Number
1255168878
Provider Name
Ambrose Ehinor Egbokhan
Provider Entity Type
Individual
Gender
Male
Address
309 Belmont St, Worcester, MA 01604-1059
Phone Number
508-368-4702
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
September 17, 2024
Last Update Date
September 17, 2024
Certification Date
September 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
309 Belmont St
Worcester, MA 01604-1059
Zip
01604-1059
Phone Number
508-368-4702
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
5 Naumaan Ln
Worcester, MA 01606-1274
City
Worcester
State
MA
Zip
01606-1274
Phone Number
774-386-7451

License Information

License Number
RN2310592
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ambrose E Egbokhan?

The NPI number of Ambrose E Egbokhan is 1255168878. It was assigned on September 17, 2024 and is currently active in the NPPES registry.

What is the specialty of Ambrose E Egbokhan?

Ambrose E Egbokhan is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2310592.

Where does Ambrose E Egbokhan practice?

The practice location is 309 Belmont St, Worcester, MA 01604-1059. The office can be reached at 508-368-4702 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255168878 directly on the NPPES registry website.

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