Individual
PRISCILLA WAMBUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
135 WEBSTER STREET, HANOVER, MA 02339
(781) 429-7755
Mailing address
37 1ST STREET, BROCKTON, MA 02301
(781) 267-2407
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
280804
MA
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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