Individual
VIVIAN MBAWUIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
10 PINEWOOD ST, BOSTON, MA 02136-6020
(857) 251-0336
Mailing address
10 PINEWOOD ST, BOSTON, MA 02136-6020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2322887
MA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN2322887
MA
163WG0000X
General Practice Registered Nurse
RN2322887
MA
163WM0705X
Medical-Surgical Registered Nurse
RN2322887
MA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2322887
MA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN2322887
MA
208D00000X
General Practice Physician
Primary
RN2322887
MA
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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