ENRICH WELLNESS HEALTH CENTER LLC NPI 1003438441

NPI Information

NPI: 1003438441
Provider Name: ENRICH WELLNESS HEALTH CENTER LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
950 N MAIN ST STE 203
RANDOLPH, MA
ZIP 02368
Phone: (508) 812-0706
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ENRICH WELLNESS HEALTH CENTER LLC is a psychiatric/mental health nurse practitioner in Randolph, MA. ENRICH WELLNESS HEALTH CENTER LLC NPI is 1003438441. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

950 N MAIN ST STE 203
RANDOLPH, MA
ZIP 02368-064
Phone: (508) 812-0706

The provider's authorized official is Chigoziri Ojuka .
The authorized official title is Nurse Practitioner and has the following contact phone number (508) 812-0706.

The enumeration date for this NPI number is 5/7/2020 and was last updated on 5/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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