Provider Demographics
NPI:1598527897
Name:MUEGO, ASUNCION (RN)
Entity Type:Individual
Prefix:
First Name:ASUNCION
Middle Name:
Last Name:MUEGO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 ELYSIAN FIELDS DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-4939
Mailing Address - Country:US
Mailing Address - Phone:925-212-9192
Mailing Address - Fax:
Practice Address - Street 1:22 ELYSIAN FIELDS DR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-4939
Practice Address - Country:US
Practice Address - Phone:925-212-9192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA556457163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse