MARY IMMACULATE NANKYA MHNP
NPI 1376406314
Nurse Practitioner - Psychiatric/Mental Health in Woburn, MA
Active since December 06, 2025
About Mary Immaculate Nankya Mhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY IMMACULATE NANKYA MHNP (NPI 1376406314) is an individual psychiatric/mental health provider in Woburn, Massachusetts, licensed in Massachusetts (RN2357600) and active in the NPI registry since December 2025.
NPPES Registry Identity
NPI1376406314
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY IMMACULATE NANKYACredential: MHNP
Location Address241 LEXINGTON ST # 5Woburn, MA 01801-5945
Mailing Address241 Lexington St # 5Woburn, MA 01801-5945
Phone(857) 352-7186
Sole ProprietorYes
Enumeration DateDecember 6, 2025
NPPES CertifiedDecember 6, 2025
✔ NPI 1376406314 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2357600
241 LEXINGTON ST # 5, Woburn, MA 01801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376406314, enumerated as an "individual" on December 06, 2025.
The provider is located at 241 LEXINGTON ST # 5 WOBURN, MA 01801 and the phone number is (857) 352-7186.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
