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Individual

ADAEZE NWANEGBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
94 S MAIN ST, MIDDLEBORO, MA 02346-2123
(774) 373-2408
Mailing address
7 DESIDERATA DR, PLYMOUTH, MA 02360-6879
(617) 875-2870

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN2276370
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2276370
MA

Other

Enumeration date
04/11/2023
Last updated
05/08/2025
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