Provider Demographics
NPI:1821786336
Name:MUHINDA, EVA
Entity Type:Individual
Prefix:MISS
First Name:EVA
Middle Name:
Last Name:MUHINDA
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 1:185 SALEM ST APT 12
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-3351
Mailing Address - Country:US
Mailing Address - Phone:781-392-4100
Mailing Address - Fax:
Practice Address - Street 1:185 SALEM ST APT 12
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-3351
Practice Address - Country:US
Practice Address - Phone:781-392-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2380546163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health