Organization
EDGEWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNENNA OGWO ONU RN BSN (CEO)
(207) 492-9332
Entity
Organization
Contact information
Practice address
51 DENNIS ST, EAGLE LAKE, ME 04739-3321
(207) 492-9332
Mailing address
51 DENNIS ST, EAGLE LAKE, ME 04739-3321
(207) 492-9332
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
—
—
163WG0000X
General Practice Registered Nurse
Primary
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WH1000X
Hospice Registered Nurse
—
—
Other
Enumeration date
11/17/2025
Last updated
12/18/2025
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