Provider Demographics
NPI:1508214008
Name:NAMBWERE, MAY
Entity Type:Individual
Prefix:MS
First Name:MAY
Middle Name:
Last Name:NAMBWERE
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 1:115 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3524
Mailing Address - Country:US
Mailing Address - Phone:508-904-1304
Mailing Address - Fax:
Practice Address - Street 1:115 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3524
Practice Address - Country:US
Practice Address - Phone:508-904-1304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2294539163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MARN2294539OtherRN LICENSE MASSACHUSETTS