Individual
IRENE KAMIKAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 BILLERICA RD, CHELMSFORD, MA 01824-3604
(978) 250-6240
Mailing address
228 BILLERICA RD, CHELMSFORD, MA 01824-3604
(978) 250-6240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95205660
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2316759
MA
Other
Enumeration date
11/16/2023
Last updated
05/27/2024
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