Individual
NKECHI E NWACHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
55 CLISBY AVE, DEDHAM, MA 02026-2114
(617) 281-6572
Mailing address
55 CLISBY AVE, DEDHAM, MA 02026-2114
(617) 281-6572
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2263205
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2263205
MA
Other
Enumeration date
02/08/2023
Last updated
09/29/2025
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