Individual
MRS. PRISCILLA I NWACHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 TRAPELO RD, WALTHAM, MA 02452-6332
(781) 894-3600
Mailing address
200 TRAPELO RD, WALTHAM, MA 02452-6332
(781) 894-3600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
194268
MA
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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