Individual
MAGNSNOH MARYANNE NWACHUKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
21 SW CUTOFF STE 108, NORTHBOROUGH, MA 01532-2135
(508) 344-7530
(949) 437-2186
Mailing address
157 W MOUNTAIN ST, WORCESTER, MA 01606-2900
(774) 386-4147
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2273516
MA
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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