Provider Demographics
NPI:1548094261
Name:MUHAME, JOAN ASIIMWE
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:ASIIMWE
Last Name:MUHAME
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 1:76 ELECTRIC AVE
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-6660
Mailing Address - Country:US
Mailing Address - Phone:781-333-0734
Mailing Address - Fax:
Practice Address - Street 1:76 ELECTRIC AVE
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-6660
Practice Address - Country:US
Practice Address - Phone:781-333-0734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2363379163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical