Individual
MS. IFEOMA LAURIETTA UGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
178 QUINCY AVE, BROCKTON, MA 02302-2803
(508) 586-7400
(508) 894-0412
Mailing address
178 QUINCY AVE, BROCKTON, MA 02302-2803
(508) 526-7400
(508) 894-0412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2281081
MA
363L00000X
Nurse Practitioner
Primary
RN2281081
MA
Other
Enumeration date
08/06/2020
Last updated
10/16/2025
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