Victoria Kisakye

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Devens, MA

NPI 1750126645 · NPPES record last updated Jul 1, 2024

Key facts

NPI
1750126645
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
RN2373054 (MA)
Practice address
85 Patton Rd
Devens, MA 01434-4401
Phone
(978) 615-5200
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN2373054MAMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2373054 MA Yes

Addresses

Primary practice location

85 Patton Rd
Devens, MA 01434-4401

Mailing address

64 Stillwater Dr
Nashua, NH 03062-2200

Other providers in Devens, MA

All providers in Devens, MA · Psychiatric/Mental Health Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.