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Emelda Iwobi
Psychiatric/Mental Health Nurse Practitioner in Brockton, Massachusetts
NPI 1538895016

Emelda Iwobi is a Psychiatric/Mental Health Nurse Practitioner based in Brockton, MA and is specialized in Psychiatric/Mental Health. Emelda Iwobi practices in Brockton, MA. The NPI Number for Emelda Iwobi is 1538895016 and holds a License No. 2022013015 (Massachusetts).

The current practice location address for Emelda Iwobi is 62 Temi Rd, Brockton, MA and can be reached out via phone at 857-251-2229.

Location: 62 Temi Rd, Brockton, MA, 02302-3049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538895016
Provider Name
Emelda Iwobi
Credential
Provider Entity Type
Individual
Gender
Female
Address
62 Temi Rd, Brockton, MA, 02302-3049
Phone Number
857-251-2229
Fax Number
Provider Enumeration Date
07/27/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982190542 01 MA HOME CARE
institution
Provider Business Practice Location Address Details
Address
62 Temi Rd
City
Brockton
State
Massachusetts
Zip
02302-3049
Phone Number
857-251-2229
Fax Number
person
Provider Business Mailing Address Details
Address
62 Temi Rd
City
Brockton
State
Massachusetts
Zip
02302-3049
Phone Number
857-251-2229
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
2022013015 (Massachusetts)
Definition
Definition to come...
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