Individual
DR. RAVEN ADAIR OMUEMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
153 MAGAZINE ST, SPRINGFIELD, MA 01109-4016
(413) 734-5376
Mailing address
153 MAGAZINE ST, SPRINGFIELD, MA 01109-4016
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NA
MA
Other
Enumeration date
10/15/2021
Last updated
07/13/2022
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