Edwin Japheth Agbonavbare, CNP
Edwin Japheth Agbonavbare, CNP is a Nurse Practitioner in Peabody, Massachusetts. Qualified in 2019, 7 years ago. Practices with Supportive Behavioral Care of MA LLC, a 106-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New York.
- Years since qualifying
- 7
- Licensed in
- MA, NY
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- CNP — Certified Nurse Practitioner
- A certified nurse practitioner.
Practice location Address checks out
100 Corporate Pl Ste 303Peabody, MA 01960-3809
Phone: (781) 640-1791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence RN2277840 (MA) |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 406565 (NY) |
Record details
| NPI number | 1386007631 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CNP |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2016 |
| Last updated in NPPES | December 10, 2024 |
| Certification date | December 10, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Supportive Behavioral Care Of Ma Llc — 106 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Peabody
-
Behavioral & Mental Health Ann Desl
40 Lowell St Ste 14, Peabody, MA 01960-5400 · (781) 463-5007
-
Kristina E Bowers
10 Centennial Dr Ste 104, Peabody, MA 01960-7938 · (978) 535-1110
-
Deborah A Clark, RN, CS, NP
3 Essex Green Dr, Peabody, MA 01960-2913 · (781) 307-6094
-
Mrs. Lori Anne Cline, PMHNP
5 Centennial Dr Ste 100, Peabody, MA 01960-7951 · (879) 232-0332