Provider Demographics
NPI:1043859903
Name:NDAGIRE, SYLVIA (RN, BSN, CCM)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:NDAGIRE
Suffix:
Gender:F
Credentials:RN, BSN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 BRENTWOOD ST
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-4704
Mailing Address - Country:US
Mailing Address - Phone:617-605-8864
Mailing Address - Fax:
Practice Address - Street 1:24 BRENTWOOD ST
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-4704
Practice Address - Country:US
Practice Address - Phone:617-605-8864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-24
Last Update Date:2019-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2258623163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management