Edwin J Agbonavbare, CNP
Nurse Practitioner, Psych/Mental Health in Peabody, Massachusetts
1386007631- Practice location
- 100 Corporate Pl Ste 303, Peabody, MA 01960-3809
- Phone
- 781-640-1791
- Fax
- —
- Last updated
- December 10, 2024
Edwin Japheth Agbonavbare is a Nurse Practitioner, Psych/Mental Health based in Peabody, MA. Edwin Japheth Agbonavbare practices in Peabody, MA and has the professional credentials of CNP. The NPI Number for Edwin Japheth Agbonavbare is 1386007631 and holds a License No. 406565 (NY). The current practice location address for Edwin Japheth Agbonavbare is 100 Corporate Pl Ste 303, Peabody, MA 01960-3809 and can be reached out via phone at 781-640-1791.
Provider Profile Details
- NPI Number
- 1386007631
- Provider Name
- Edwin Japheth Agbonavbare
- Credential
- CNP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Corporate Pl Ste 303, Peabody, MA 01960-3809
- Phone Number
- 781-640-1791
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 4, 2016
- Last Update Date
- December 10, 2024
- Certification Date
- December 10, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Corporate Pl Ste 303
Peabody, MA 01960-3809 - City
- Peabody
- State
- Massachusetts
- Zip
- 01960-3809
- Phone Number
- 781-640-1791
Provider Business Mailing Address Details
- Address
- 100 Corporate Pl Ste 303
Peabody, MA 01960-3809 - City
- Peabody
- State
- MA
- Zip
- 01960-3809
- Phone Number
- 781-640-1791
License Information
- License Number (1)
- 406565
- License State (1)
- NY
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (2)
- RN2277840
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near Peabody, MA
View all Nurse Practitioner, Psych/Mental Health providers in Peabody →- Aurora Mindcare And Wellness PLLCNurse Practitioner, Psych/Mental Health · NPI 1982558722
- Behavioral & Mental Health Ann DeslNurse Practitioner, Psych/Mental Health · NPI 1669201646
- Deborah A Clark, RN, CS, NPNurse Practitioner, Psych/Mental Health · NPI 1396729331
- Ijeoma Onwuogu, NURSE PRACTITIONERNurse Practitioner, Psych/Mental Health · NPI 1356042204
- Jotana Behavioral Health, PLLCNurse Practitioner, Psych/Mental Health · NPI 1326953670
- Kristina E BowersNurse Practitioner, Psych/Mental Health · NPI 1568861987
Frequently Asked Questions
What is the NPI number of Edwin J Agbonavbare, CNP?
The NPI number of Edwin J Agbonavbare, CNP is 1386007631. It was assigned on April 4, 2016 and is currently active in the NPPES registry.
What is the specialty of Edwin J Agbonavbare, CNP?
Edwin J Agbonavbare, CNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 406565.
Where does Edwin J Agbonavbare, CNP practice?
The practice location is 100 Corporate Pl Ste 303, Peabody, MA 01960-3809. The office can be reached at 781-640-1791 (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 1386007631 directly on the NPPES registry website.