Edwin Japheth Agbonavbare, CNP
NPI #1386007631 in Peabody, Massachusetts
Provider Information
- NPI Number
- 1386007631
- Entity Type
- Individual
- Name
- Edwin Japheth Agbonavbare, CNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- CNP
- Enumeration Date
- Apr 4, 2016
- Last Updated
- Dec 10, 2024
Practice Location
- Address
- 100 CORPORATE PL STE 303
- City
- Peabody
- State
- Massachusetts
- ZIP Code
- 01960-3809
- Phone
- (781) 640-1791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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