Emeka Ikenna Chidebe
Individual provider Active NPI Registered Nurse · Wrentham, MA
NPI 1750107322 · NPPES record last updated Nov 28, 2024
Key facts
- NPI
- 1750107322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN2315292 (MA)
- Practice address
- 180 Walnut Rd
Wrentham, MA 02093-1040 - Phone
- (774) 360-6725
- NPI assigned
- Nov 28, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2315292 | MA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2315292 | MA | Yes |
Addresses
Primary practice location
180 Walnut Rd
Wrentham, MA 02093-1040
Mailing address
180 Walnut Rd
Wrentham, MA 02093-1040
Phone (774) 360-6725
Other providers in Wrentham, MA
- Kellsie Marie Capece Alger
- Julia Lopes Cardoso
- Meghan Castaneda
- Jessica Champagne
- Kayla Chan
- Child Builders ABA LLC
- Halley Jakes Choiniere
- Joseph Francis Coffin
- Commonwealth of Massachusets
- Compass Social Skills and Counseling, LLC
All providers in Wrentham, MA · Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.