Provider Demographics
NPI:1437637584
Name:NAMUGENYI, CATHERINE MATUTU (LVN)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MATUTU
Last Name:NAMUGENYI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15125 WEST RD APT 523
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3151
Mailing Address - Country:US
Mailing Address - Phone:253-230-8129
Mailing Address - Fax:
Practice Address - Street 1:15125 WEST RD APT 523
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-3151
Practice Address - Country:US
Practice Address - Phone:253-230-8129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX331017164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse