Active NPIIndividual provider

Judith O Agwu

Nurse Practitioner, Psych/Mental Health in Worcester, Massachusetts

NPI Number1902594062
Practice location
20 Basswood Blvd Unit 13, Worcester, MA 01605-2427
Fax
—
Last updated
May 16, 2024

Judith Ogechi Agwu is a Nurse Practitioner, Psych/Mental Health based in Worcester, MA. Judith Ogechi Agwu practices in Worcester, MA. The NPI Number for Judith Ogechi Agwu is 1902594062 and holds a License No. 266826 (MA). The current practice location address for Judith Ogechi Agwu is 20 Basswood Blvd Unit 13, Worcester, MA 01605-2427 and can be reached out via phone at 978-726-9355.

Provider Profile Details

NPI Number
1902594062
Provider Name
Judith Ogechi Agwu
Provider Entity Type
Individual
Gender
Female
Address
20 Basswood Blvd Unit 13, Worcester, MA 01605-2427
Phone Number
978-726-9355
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
April 26, 2023
Last Update Date
May 16, 2024
Certification Date
May 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Basswood Blvd Unit 13
Worcester, MA 01605-2427
Zip
01605-2427
Phone Number
978-726-9355
Worcester, MA 01605Get directions →

Provider Business Mailing Address Details

Address
20 Basswood Blvd Unit 13
Worcester, MA 01605-2427
City
Worcester
State
MA
Zip
01605-2427
Phone Number
978-726-9355

License Information

License Number (1)
266826
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
266826
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 Judith O Agwu?

The NPI number of Judith O Agwu is 1902594062. It was assigned on April 26, 2023 and is currently active in the NPPES registry.

What is the specialty of Judith O Agwu?

Judith O Agwu is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number 266826.

Where does Judith O Agwu practice?

The practice location is 20 Basswood Blvd Unit 13, Worcester, MA 01605-2427. The office can be reached at 978-726-9355 (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 1902594062 directly on the NPPES registry website.

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