Individual
MRS. AUGUSTA O ISHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 GROVE ST STE 210, WORCESTER, MA 01605-2630
(508) 556-1072
(508) 318-8037
Mailing address
100 GROVE ST STE 210, WORCESTER, MA 01605-2630
(508) 556-1072
(508) 318-8037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN277472
MA
363L00000X
Nurse Practitioner
Primary
RN277472
MA
363LF0000X
Family Nurse Practitioner
RN277472
MA
Other
Enumeration date
11/11/2019
Last updated
01/19/2021
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