Individual
JUDITH OGECHI AGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 BASSWOOD BLVD UNIT 13, WORCESTER, MA 01605-2427
(978) 726-9355
Mailing address
20 BASSWOOD BLVD UNIT 13, WORCESTER, MA 01605-2427
(978) 726-9355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
266826
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
266826
MA
Other
Enumeration date
04/26/2023
Last updated
05/16/2024
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