Bibiana Uzoma Aniagu, RN

Individual provider Active NPI Registered Nurse · Randolph, MA

NPI 1700599164 · NPPES record last updated Mar 21, 2023

Key facts

NPI
1700599164
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
258-749 (MA)
Practice address
81 Gold St
Randolph, MA 02368-2724
Phone
(617) 820-4287
NPI assigned
Dec 30, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
258-749MAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 258-749 MA Yes

Addresses

Primary practice location

81 Gold St
Randolph, MA 02368-2724

Mailing address

81 Gold St
Randolph, MA 02368-2724
Phone (617) 820-4287

Other providers in Randolph, MA

All providers in Randolph, MA · Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.