MEDICARE: MARYJOE IGWEIKE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN2351228	MA

General Provider Information

NPI Number	:	1851257018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARYJOE IGWEIKE RN

Provider Business Mailing Address
First Line	:	12 ATLAS RD
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-4306
Country	:	US
Telephone Number	:	530-220-3949
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 ATLAS RD
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-4306
Country	:	US
Telephone Number	:	530-220-3949
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/01/2026
Last Update Date	:	01/05/2026

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