AUSTIN AGBONIFO


Address: 36 Westminster Ct Apt E36, Roxbury, MA 02119-1192
Phone: 8574984939

AUSTIN AGBONIFO (NPI# 1750927489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750927489
Entity Type Individual
Full Name AUSTIN AGBONIFO
Practice Address 36 Westminster Ct Apt E36
Roxbury
MA 02119-1192
Practice Telephone 8574984939
Mailing Telephone 8574984939
Enumeration Date 2019-11-18
Last Update Date 2019-11-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
RN2312537 MA Nursing Service Providers

Office Location

Street Address 36 WESTMINSTER CT APT E36
City ROXBURY
State MA
Zip Code 02119-1192

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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1306459862 Alycen Gail Palmer Registered Nurse 769 Plain St Unit 1, Marshfield, MA 02050-2118 2020-08-25
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1952938136 Douglas Crook Registered Nurse 12 Wellington Ave, Haverhill, MA 01830-2729 2020-03-26
1043846942 Debra Louise Booth Registered Nurse 19 Bryant St, Salem, MA 01970-2330 2020-03-23
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1013553536 Valerie Witline Louis Registered Nurse 9 W Milton St, Hyde Park, MA 02136-1921 2019-11-19
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Competitor

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City ROXBURY
Zip Code 02119

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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