Provider Demographics
NPI:1346008596
Name:NABASAGGI, ROBINAH
Entity Type:Individual
Prefix:
First Name:ROBINAH
Middle Name:
Last Name:NABASAGGI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1057 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-2323
Mailing Address - Country:US
Mailing Address - Phone:978-930-0863
Mailing Address - Fax:
Practice Address - Street 1:1057 SOUTH ST
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-2323
Practice Address - Country:US
Practice Address - Phone:978-930-0863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN100787164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse