Ekwere, Amanam Okon
Ekwere, Amanam Okon is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ekwere, Amanam Okon can be contacted via phone (508) 421-1400.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655-0002
Phone: (508) 421-1400
Fax: (508) 421-1490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Medical-Surgical | 163WM0705X | RN268492 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN268492 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN268492 | Massachusetts |
Profile Details
| NPI number | 1326499468 |
|---|---|
| LBN Legal business name | Ekwere, Amanam Okon |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2016 |
| Last updated | Jun 24th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326499468 | NPPES |
| Massachusetts | MEDICAID | 110118641A |
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