Provider Demographics
NPI:1245805662
Name:NKUGWA, HILDA N (RN)
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:N
Last Name:NKUGWA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 PORTER RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-4036
Mailing Address - Country:US
Mailing Address - Phone:781-775-9716
Mailing Address - Fax:
Practice Address - Street 1:34 PORTER RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-4036
Practice Address - Country:US
Practice Address - Phone:781-775-9716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2342307163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse