Azubuko, Nnemdi O

Azubuko, Nnemdi O is an individual health care provider with primary practice located at 637 Washington St , Dorchester MA 02124-3510. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Azubuko, Nnemdi O can be contacted via phone (617) 825-9660.

Contact Information

Primary practice address
637 Washington St Dorchester MA 02124-3510
Phone: (617) 825-9660
Fax: (617) 288-7898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2336411 Massachusetts
Nursing Service Providers / Registered Nurse 163W00000X RN2336411 Massachusetts

Profile Details

NPI number 1689295750
LBN Legal business name Azubuko, Nnemdi O
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2020
Last updated Nov 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689295750 NPPES
Massachusetts MEDICAID 110164464A

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