Provider Demographics
NPI:1346019882
Name:NAKIRYA, CATHERINE BAKUNGA (PMHNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:BAKUNGA
Last Name:NAKIRYA
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 TECHNOLOGY DR STE 102
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-2441
Mailing Address - Country:US
Mailing Address - Phone:978-677-6354
Mailing Address - Fax:
Practice Address - Street 1:7 TECHNOLOGY DR STE 102
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-2441
Practice Address - Country:US
Practice Address - Phone:978-677-6354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-26
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2327564363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health