Individual
EVA NAMAKULA MUTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHN-BC
Contact information
Practice address
7 TECHNOLOGY DR STE 102, NORTH CHELMSFORD, MA 01863-2441
(978) 677-6354
Mailing address
7 TECHNOLOGY DR STE 102, NORTH CHELMSFORD, MA 01863-2441
(978) 677-6354
(978) 677-6456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2271100
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2271100
MA
Other
Enumeration date
02/14/2012
Last updated
03/18/2025
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