Provider Demographics
NPI:1275342156
Name:BWOGI, YUSUFU (RN)
Entity type:Individual
Prefix:
First Name:YUSUFU
Middle Name:
Last Name:BWOGI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MCHUGH AVE
Mailing Address - Street 2:
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-5941
Mailing Address - Country:US
Mailing Address - Phone:781-475-2714
Mailing Address - Fax:
Practice Address - Street 1:17 MCHUGH AVE
Practice Address - Street 2:
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-5941
Practice Address - Country:US
Practice Address - Phone:781-475-2714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10012057163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical