Individual
MS. NGOZI OTALUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-3640
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-3640
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN262135
MA
Other
Enumeration date
07/23/2018
Last updated
05/16/2023
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