Christiana Odunze, NURSE PRACTITIONER
Nurse Practitioner, Gerontology in Brockton, Massachusetts
1366288326- Practice location
- 10 Christy Dr, Brockton, MA 02301-1812
- Phone
- 508-580-8700
- Fax
- —
- Last updated
- July 8, 2024
Christiana Odunze is a Nurse Practitioner, Gerontology based in Brockton, MA. Christiana Odunze practices in Brockton, MA and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Christiana Odunze is 1366288326 and holds a License No. AG03240041 (MA). The current practice location address for Christiana Odunze is 10 Christy Dr, Brockton, MA 02301-1812 and can be reached out via phone at 508-580-8700.
Provider Profile Details
- NPI Number
- 1366288326
- Provider Name
- Christiana Odunze
- Credential
- NURSE PRACTITIONER
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Christy Dr, Brockton, MA 02301-1812
- Phone Number
- 508-580-8700
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 8, 2024
- Last Update Date
- July 8, 2024
- Certification Date
- July 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Christy Dr
Brockton, MA 02301-1812 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-1812
- Phone Number
- 508-580-8700
Provider Business Mailing Address Details
- Address
- 30 Brookdale RD
Stoughton, MA 02072-3309 - City
- Stoughton
- State
- MA
- Zip
- 02072-3309
- Phone Number
- 781-344-4740
License Information
- License Number
- AG03240041
- License State
- MA
- Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Christiana Odunze, NURSE PRACTITIONER?
The NPI number of Christiana Odunze, NURSE PRACTITIONER is 1366288326. It was assigned on July 8, 2024 and is currently active in the NPPES registry.
What is the specialty of Christiana Odunze, NURSE PRACTITIONER?
Christiana Odunze, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number AG03240041.
Where does Christiana Odunze, NURSE PRACTITIONER practice?
The practice location is 10 Christy Dr, Brockton, MA 02301-1812. The office can be reached at 508-580-8700 (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 1366288326 directly on the NPPES registry website.