Provider Demographics
NPI:1467768168
Name:MBUGUA, ESTHER
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:MBUGUA
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 1:39 PROVIDENCE ST
Mailing Address - Street 2:APT 2
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-4265
Mailing Address - Country:US
Mailing Address - Phone:774-437-9519
Mailing Address - Fax:
Practice Address - Street 1:39 PROVIDENCE ST
Practice Address - Street 2:APT 2
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-4265
Practice Address - Country:US
Practice Address - Phone:774-437-9519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAA376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide