Organization
TRIVE TRU HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIVINE CHINYERE EZEWUZIE NP (OWNER)
(857) 251-9231
Entity
Organization
Contact information
Practice address
7 LINCOLN ST STE 201, WAKEFIELD, MA 01880-3033
(857) 251-9231
Mailing address
122 BELMONT ST, MALDEN, MA 02148-7769
(857) 251-9231
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
10/17/2024
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