Active NPIIndividual providerSole proprietor

Mrs. Divine C Ezewuzie, RN

Nurse Practitioner, Psych/Mental Health in Malden, Massachusetts

NPI Number1831437011
Practice location
118 Belmont St, Malden, MA 02148-7769
Fax
—
Last updated
March 14, 2023

Divine C Ezewuzie is a Nurse Practitioner, Psych/Mental Health based in Malden, MA. Divine C Ezewuzie practices in Malden, MA and has the professional credentials of RN. The NPI Number for Divine C Ezewuzie is 1831437011 and holds a License No. RN267871 (MA). The current practice location address for Divine C Ezewuzie is 118 Belmont St, Malden, MA 02148-7769 and can be reached out via phone at 781-656-2256.

Provider Profile Details

NPI Number
1831437011
Provider Name
Divine C Ezewuzie
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
118 Belmont St, Malden, MA 02148-7769
Phone Number
781-656-2256
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
January 23, 2013
Last Update Date
March 14, 2023
Certification Date
March 14, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
118 Belmont St
Malden, MA 02148-7769
City
Malden
Zip
02148-7769
Phone Number
781-656-2256
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
118 Belmont St
Malden, MA 02148-7769
City
Malden
State
MA
Zip
02148-7769
Phone Number
781-656-2256

License Information

License Number (1)
RN267871
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN267871
License State (2)
MA
Taxonomy (2)
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 Mrs. Divine C Ezewuzie, RN?

The NPI number of Mrs. Divine C Ezewuzie, RN is 1831437011. It was assigned on January 23, 2013 and is currently active in the NPPES registry.

What is the specialty of Mrs. Divine C Ezewuzie, RN?

Mrs. Divine C Ezewuzie, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN267871.

Where does Mrs. Divine C Ezewuzie, RN practice?

The practice location is 118 Belmont St, Malden, MA 02148-7769. The office can be reached at 781-656-2256 (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 1831437011 directly on the NPPES registry website.

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