Provider Demographics
NPI:1972276004
Name:KAMAU, NAOMI
Entity Type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:
Last Name:KAMAU
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 1:84 FULLER ST APT 6
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056-2310
Mailing Address - Country:US
Mailing Address - Phone:413-241-4016
Mailing Address - Fax:
Practice Address - Street 1:84 FULLER ST APT 6
Practice Address - Street 2:
Practice Address - City:LUDLOW
Practice Address - State:MA
Practice Address - Zip Code:01056-2310
Practice Address - Country:US
Practice Address - Phone:413-241-4016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN86886164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse