person
Edwin Japheth Agbonavbare, CNP
Psychiatric/Mental Health Nurse Practitioner in Peabody, Massachusetts
NPI 1386007631

Edwin Japheth Agbonavbare is a Psychiatric/Mental Health Nurse Practitioner based in Peabody, MA and is specialized in Psychiatric/Mental Health. 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. RN2277840 (Massachusetts).

The current practice location address for Edwin Japheth Agbonavbare is 100 Corporate Pl Ste 303, Peabody, MA and can be reached out via phone at 781-640-1791.

Location: 100 Corporate Pl Ste 303, Peabody, MA, 01960-3809
person
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
Fax Number
Provider Enumeration Date
04/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Corporate Pl Ste 303
City
State
Zip
01960-3809
Phone Number
781-640-1791
Fax Number
person
Provider Business Mailing Address Details
Address
100 Corporate Pl Ste 303
City
State
Zip
01960-3809
Phone Number
781-640-1791
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN2277840 (Massachusetts)
Definition
Definition to come...
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