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Annette G Kivumbi, APRN PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Tewksbury, MA. Individual provider (NPI-1).

NPI number1740918481
StatusActive
Last updated in NPPESMay 1, 2025

Details

NPI
1740918481
Entity type
Individual (NPI-1)
Name
Annette G Kivumbi
Credential
APRN PMHNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 10, 2022
Certification date
May 1, 2025
Last updated
May 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthRN2281358MAYes
163WH0200X Registered Nurse, Home HealthRN2281358MA
163W00000X Registered NurseRN2281358MA
163WA2000X Registered Nurse, AdministratorRN2281358MA
163WC1500X Registered Nurse, Community HealthRN2281358MA
163WG0000X Registered Nurse, General PracticeRN2281358MA
163WH1000X Registered Nurse, HospiceRN2281358MA
163WP0809X Registered Nurse, Psych/Mental Health, AdultRN2281358MA

Practice location

39 Country Club Dr
Tewksbury, MA 01876-1632

Phone 781-521-5633

Mailing address

39 Country Club Dr
Tewksbury, MA 01876-1632

Phone 781-521-5633

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatric/Mental Health Nurse Practitioner providers in Tewksbury, MA

All 17 Psychiatric/Mental Health Nurse Practitioner providers in Tewksbury · All 557 providers in Tewksbury

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