# MR. CHARLES A MUGISHA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1265585616
- **Gender:** Man
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | 138020-030 | WI | — |
| 163WH0200X | Home Health Registered Nurse | 750029 | TX | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 138020-030 | WI | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 750029 | TX | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 03/01/2009
