Individual
GRACE MBAWUIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10 PINEWOOD ST, BOSTON, MA 02136-6020
(857) 719-5983
Mailing address
235 WELLESLEY ST, WESTON, MA 02493-1572
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN237452
MA
Other
Enumeration date
03/01/2022
Last updated
10/31/2024
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