Ezewuzie, Divine C

Ezewuzie, Divine C is an sole proprietor health care provider with primary practice located at 118 Belmont St , Malden MA 02148-7769. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ezewuzie, Divine C can be contacted via phone (781) 656-2256.

Contact Information

Primary practice address
118 Belmont St Malden MA 02148-7769
Phone: (781) 656-2256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN267871 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN267871 Massachusetts

Profile Details

NPI number 1831437011
LBN Legal business name Ezewuzie, Divine C
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2013
Last updated Mar 14th, 2023 - about last year

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.

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