Provider Demographics
NPI:1184384398
Name:NAKAYEMBA, CLARE P (LPN)
Entity type:Individual
Prefix:MS
First Name:CLARE
Middle Name:P
Last Name:NAKAYEMBA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 TOBEY RD UNIT 50
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-4901
Mailing Address - Country:US
Mailing Address - Phone:781-518-1099
Mailing Address - Fax:
Practice Address - Street 1:51 TOBEY RD UNIT 50
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-4901
Practice Address - Country:US
Practice Address - Phone:781-518-1099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN97929164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse