Individual
MICHAELA ESSAM-AGBESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655
(508) 334-8630
(774) 441-6710
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN267951
MA
363LA2100X
Acute Care Nurse Practitioner
RN267951
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084431A
—
MA
Enumeration date
08/10/2009
Last updated
03/26/2021
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