Individual
MS. CISSY D NAKANWAGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7 TOTMAN DR # 9, WOBURN, MA 01801
(781) 696-9237
Mailing address
7 TOTMAN DR APT 9, WOBURN, MA 01801-5455
(781) 696-9237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235060
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235060
RN LICENSE NUMBER
MA
01
—
S32767018
DRIVER'S LICENSE
MA
Enumeration date
06/20/2017
Last updated
07/21/2022
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