Provider Demographics
NPI:1780425918
Name:NGUNU, CHARITY O (BSN RN)
Entity type:Individual
Prefix:
First Name:CHARITY
Middle Name:O
Last Name:NGUNU
Suffix:
Gender:F
Credentials:BSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BRYANT AVE
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01835-7424
Mailing Address - Country:US
Mailing Address - Phone:781-367-8622
Mailing Address - Fax:978-228-2180
Practice Address - Street 1:1 BRYANT AVE
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:MA
Practice Address - Zip Code:01835-7424
Practice Address - Country:US
Practice Address - Phone:781-367-8622
Practice Address - Fax:978-228-2180
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2284828163WC0400X, 163WP0808X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health