GRACE ADAOBI OMOREGIE-EDEWI
NPI 1568190957
Nurse Practitioner - Psychiatric/Mental Health in Brockton, MA

Active since August 12, 2022
8 WILDER ST, BROCKTON, MA 02301(781) 771-8576 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Grace Adaobi Omoregie-edewi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE ADAOBI OMOREGIE-EDEWI (NPI 1568190957) is an individual psychiatric/mental health provider in Brockton, Massachusetts, licensed in Massachusetts (2022041912) and active in the NPI registry since August 2022. She maintains a secondary practice location in Brockton.

NPPES Registry Identity

NPI1568190957
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGRACE ADAOBI OMOREGIE-EDEWI
Location Address8 WILDER STBrockton, MA 02301-1529
Mailing Address8 Wilder StBrockton, MA 02301-1529 · (781) 771-8576
Sole ProprietorYes
Enumeration DateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
✔ NPI 1568190957 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 · 2022041912
8 WILDER ST, Brockton, MA 02301

Secondary Practice Location 1

Location 18 Wilder StBrockton, MA 02301-1529 · Phone (781) 771-8576

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
8 WILDER ST
BROCKTON, MA 02301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Omoregie-edewi's NPI number?

The NPI number for Grace Omoregie-edewi is 1568190957. It was assigned to this individual provider in the NPPES registry on August 12, 2022.

Where is Grace Omoregie-edewi located?

Grace Omoregie-edewi practices at 8 Wilder St, Brockton, MA 02301. The listed phone number is (781) 771-8576.

What is Grace Omoregie-edewi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Grace Omoregie-edewi was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.