Active NPIIndividual provider

Lebga N Gwanvalla

Registered Nurse in Everett, Massachusetts

NPI Number1720845399
Practice location
103 Garland St, Everett, MA 02149-5066
Fax
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Last updated
February 29, 2024

Lebga N/A Gwanvalla is a Registered Nurse based in Everett, MA. Lebga N/A Gwanvalla practices in Everett, MA. The NPI Number for Lebga N/A Gwanvalla is 1720845399 and holds a License No. RN2347291 (MA). The current practice location address for Lebga N/A Gwanvalla is 103 Garland St, Everett, MA 02149-5066 and can be reached out via phone at 617-389-6270.

Provider Profile Details

NPI Number
1720845399
Provider Name
Lebga N/A Gwanvalla
Provider Entity Type
Individual
Gender
Male
Address
103 Garland St, Everett, MA 02149-5066
Phone Number
617-389-6270
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
No
Provider Enumeration Date
February 29, 2024
Last Update Date
February 29, 2024
Certification Date
February 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Garland St
Everett, MA 02149-5066
Zip
02149-5066
Phone Number
617-389-6270
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
24 Ludlow St Apt 3
Worcester, MA 01603-1184
City
Worcester
State
MA
Zip
01603-1184
Phone Number
781-975-1689

License Information

License Number
RN2347291
License State
MA
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Lebga N Gwanvalla?

The NPI number of Lebga N Gwanvalla is 1720845399. It was assigned on February 29, 2024 and is currently active in the NPPES registry.

What is the specialty of Lebga N Gwanvalla?

Lebga N Gwanvalla is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number RN2347291.

Where does Lebga N Gwanvalla practice?

The practice location is 103 Garland St, Everett, MA 02149-5066. The office can be reached at 617-389-6270 (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 1720845399 directly on the NPPES registry website.

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