Individual provider · NPI-1

Freda Agyemang, Nurse Practitioner

Nurse Practitioner, Family · Worcester, MA

NPI number1134733280
StatusActive
Last updated in NPPESSep 6, 2020

Details

NPI
1134733280
Entity type
Individual (NPI-1)
Name
Freda Agyemang
Credential
Nurse Practitioner
Sex
Female
Sole proprietor
No
Enumeration date
Sep 6, 2020
Certification date
Sep 6, 2020
Last updated
Sep 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyF08201034MAYes

Practice location

123 Summer St
Worcester, MA 01608-1216

Phone 508-363-5000

Mailing address

55 Rodney St
Worcester, MA 01605-2859

Phone 774-232-4654

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