GLORIA N IHEUWA NP NPI 1104690072

NPI Information

  • NPI: 1104690072
  • Provider Name: GLORIA N IHEUWA, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 35 PEARL ST STE 300
    BROCKTON, MA
    ZIP 02301
  • Phone: (508) 584-6300

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NPI Details

Gloria N Iheuwa, NP is a family nurse practitioner in Brockton, MA with 1 years of experience. Gloria N Iheuwa, NP NPI is 1104690072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:2024

The provider's business location address is:

35 PEARL ST STE 300
BROCKTON, MA
ZIP 02301-866
Phone: (508) 584-6300

The NPI 1104690072 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/13/2023 and was last updated on 4/16/2024.

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
1363LF0000XNurse PractitionerFamily263302MARYLANDNo
2363LF0000XNurse PractitionerFamily2339010MASSACHUSETTSYes

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: 3/30/2025

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