Organization
P& N VISION HEALTH CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIDA N NCHAW (CEO)
(508) 250-8378
Entity
Organization
Contact information
Practice address
100 GROVE ST STE 103, WORCESTER, MA 01605-2630
(508) 250-8378
Mailing address
100 GROVE ST STE 103, WORCESTER, MA 01605-2630
(508) 250-8378
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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