Individual
MAUREEN OTEMURE OMOAGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
675 LINCOLN AVE, APT 12B, BROOKLYN, NY 11208-4045
(347) 404-6258
Mailing address
675 LINCOLN AVE, APT 12B, BROOKLYN, NY 11208-4045
(347) 404-6258
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
560143
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1177710
TX
Other
Enumeration date
09/15/2010
Last updated
08/11/2025
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