Individual
RITA ASIEGBUNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
98 KIRTLAND ST APT 2, LYNN, MA 01905-1821
(781) 346-1126
Mailing address
98 KIRTLAND ST APT 2, LYNN, MA 01905-1821
(781) 346-1126
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2019074077
MA
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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