Individual
SUSAN UTUBOR IGHEDOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 BIRCH ST STE 204, MILFORD, MA 01757-3585
(508) 875-5801
(508) 568-1924
Mailing address
68 FRANKLIN ST, FRAMINGHAM, MA 01702-6671
(508) 875-5801
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN271511
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN271511
MA
Other
Enumeration date
03/03/2025
Last updated
03/09/2026
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