Teddy Mbaziira
Licensed Practical Nurse in Randolph, Massachusetts
1346016730- Practice location
- 60 Russ St, Randolph, MA 02368-1737
- Phone
- 832-788-7172
- Fax
- —
- Last updated
- November 28, 2023
Teddy Mbaziira is a Licensed Practical Nurse based in Randolph, MA. Teddy Mbaziira practices in Randolph, MA. The NPI Number for Teddy Mbaziira is 1346016730 and holds a License No. LN59339 (MA). The current practice location address for Teddy Mbaziira is 60 Russ St, Randolph, MA 02368-1737 and can be reached out via phone at 832-788-7172.
Provider Profile Details
- NPI Number
- 1346016730
- Provider Name
- Teddy Mbaziira
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 60 Russ St, Randolph, MA 02368-1737
- Phone Number
- 832-788-7172
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 28, 2023
- Last Update Date
- November 28, 2023
- Certification Date
- November 28, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 Russ St
Randolph, MA 02368-1737 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-1737
- Phone Number
- 832-788-7172
Provider Business Mailing Address Details
- Address
- 60 Russ St
Randolph, MA 02368-1737 - City
- Randolph
- State
- MA
- Zip
- 02368-1737
- Phone Number
- 832-788-7172
License Information
- License Number
- LN59339
- License State
- MA
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Teddy Mbaziira?
The NPI number of Teddy Mbaziira is 1346016730. It was assigned on November 28, 2023 and is currently active in the NPPES registry.
What is the specialty of Teddy Mbaziira?
Teddy Mbaziira is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN59339.
Where does Teddy Mbaziira practice?
The practice location is 60 Russ St, Randolph, MA 02368-1737. The office can be reached at 832-788-7172 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346016730 directly on the NPPES registry website.