Individual
ROSE MARIE NYAKAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC, RN
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
(508) 854-3248
Mailing address
133 HOUGHTON RD, PRINCETON, MA 01541-1225
(978) 235-2046
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
265667
MA
363LG0600X
Gerontology Nurse Practitioner
265667
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
265667
MA
Other
Enumeration date
02/25/2014
Last updated
05/02/2018
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