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EMMANUEL AMEYIBOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 590-3544
Mailing address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 590-3544

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19202100
NJ
163WP0808X
Psychiatric/Mental Health Registered Nurse
26NR19202100
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01145200
NJ

Other

Enumeration date
04/28/2021
Last updated
11/25/2024
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