Most Relevant Information
Provider Data
| NPI Number: | 1003680794 |
| Provider Name: | HENRIETTA AMAKA EWUZIE NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | RN2331615 |
Most Important Dates
| Enumeration Date: | 11/13/2023 |
| Last Updated: | 10/31/2024 |
Provider Practice Location
14 HERITAGE CT
BROCKTON
MA
023021965
Practice Location Phone/Fax
| Phone: | 8572331890 |
| Fax: |
Provider Mailing Location
14 HERITAGE CT
BROCKTON
MA
023021965
Provider Mailing Phone/Fax
| Phone: | 8572331890 |
| Fax: |