Phionah Mutebi Nakityo Sr.
Individual provider Active NPI Licensed Practical Nurse · Upton, MA
NPI 1992532824 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1992532824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LN953264 (MA)
- Practice address
- 11 Maple Ave
Upton, MA 01568-1654 - Phone
- (857) 498-4536
- NPI assigned
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN953264 | MA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Dynamics Lifecare | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN953264 | MA | Yes |
Addresses
Primary practice location
11 Maple Ave
Upton, MA 01568-1654
Mailing address
11 Maple Ave
Upton, MA 01568-1654
Phone (857) 498-4536
Other providers in Upton, MA
- Satya Rao Montgomery
- Ellen Anne Moodie
- Debra S Morrison
- Janet M. Murphy
- Alicia Dallas Murray
- Giorgio P. Napoli
- Bridget Nichols
- Robert A Nicoll
- Ashley J. O'Brien
- Luanne Marie Pehl
All providers in Upton, MA · Licensed Practical Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.