Individual
MRS. HENRIETTA AMAKA EWUZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14 HERITAGE CT, BROCKTON, MA 02302-1965
(857) 233-1890
Mailing address
14 HERITAGE CT, BROCKTON, MA 02302-1965
(857) 233-1890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2331615
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2331615
MA
Other
Enumeration date
11/13/2023
Last updated
10/30/2025
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