Provider Demographics
NPI:1356101752
Name:NAMPEWO, CHRISTINE NYONJO
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:NYONJO
Last Name:NAMPEWO
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 1:6 PARK ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01473-1321
Mailing Address - Country:US
Mailing Address - Phone:978-429-3206
Mailing Address - Fax:
Practice Address - Street 1:6 PARK ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01473-1321
Practice Address - Country:US
Practice Address - Phone:978-429-3206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No251E00000XAgenciesHome Health