Irorere, Ann Osamudiaimen

Irorere, Ann Osamudiaimen is an individual health care provider with primary practice located at 155 South Leyden St , Brockton MA 02302. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Irorere, Ann Osamudiaimen can be contacted via phone (508) 345-6313.

Contact Information

Primary practice address
155 South Leyden St Brockton MA 02302
Phone: (508) 345-6313
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X N2257719 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2257719 Massachusetts
Nursing Service Providers / Registered Nurse 163W00000X RN2257719 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN2257719 Massachusetts

Profile Details

NPI number 1114203767
LBN Legal business name Irorere, Ann Osamudiaimen
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2011
Last updated Jan 2nd, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114203767 NPPES
Massachusetts MEDICAID 163W00000X

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