Individual
BRENDA KOBUSINGYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
685 MOODY ST, WALTHAM, MA 02453-5148
(857) 318-3968
Mailing address
45 LOWER WESTFIELD RD, HOLYOKE, MA 01040-2747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2325391
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2325391
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXXXXXXXX
XXXXX
—
01
—
XXXXXXXXXX
I DONT HAVE NUMBER
—
Enumeration date
03/02/2023
Last updated
12/10/2025
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