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Individual
ENIAYO EGBERONGBE
Active
Individual
ENIAYO EGBERONGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2330024
MA
163WP0808X
Psychiatric/Mental Health Registered Nurse
681574
NY
363LF0000X
Family Nurse Practitioner
APRN01722
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN01722
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2330024
MA
Other
Enumeration date
05/31/2017
Last updated
06/29/2021
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