Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Adaobi Omoregie-Edewi

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1568190957

Grace Adaobi Omoregie-Edewi is a Psychiatric/Mental Health Nurse Practitioner in Brockton, Massachusetts. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2022

Practice location Address checks out

8 Wilder St
Brockton, MA 02301-1529
Phone: (781) 771-8576
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8 Wilder St, Brockton, MA 02301-1529 — (781) 771-8576

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2022041912 (MA)

Record details

NPI number1568190957
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 12, 2022
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022

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