CHRISTIANA ODUNZE NURSE PRACTITIONER
NPI 1366288326
Nurse Practitioner - Gerontology in Brockton, MA
Active since July 08, 2024
About Christiana Odunze Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTIANA ODUNZE NURSE PRACTITIONER (NPI 1366288326) is an individual gerontology provider in Brockton, Massachusetts, licensed in Massachusetts (AG03240041) and active in the NPI registry since July 2024.
NPPES Registry Identity
NPI1366288326
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameCHRISTIANA ODUNZECredential: NURSE PRACTITIONER
Location Address10 CHRISTY DRBrockton, MA 02301-1812
Mailing Address30 Brookdale RdStoughton, MA 02072-3309 · (781) 344-4740
Phone(508) 580-8700
Sole ProprietorYes
Enumeration DateJuly 8, 2024
NPPES CertifiedJuly 8, 2024
✔ NPI 1366288326 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MA · AG03240041
10 CHRISTY DR, Brockton, MA 02301
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366288326, enumerated as an "individual" on July 08, 2024.
The provider is located at 10 CHRISTY DR BROCKTON, MA 02301 and the phone number is (508) 580-8700.
Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.