SAM SSEGAWA FNP NPI 1043019821

NPI Information

  • NPI: 1043019821
  • Provider Name: SAM SSEGAWA, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 5 RIVERDALE AVE
    TEWKSBURY, MA
    ZIP 01876
  • Phone: (781) 330-5932

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NPI Details

Sam Ssegawa, FNP is a family nurse practitioner in Tewksbury, MA. Sam Ssegawa, FNP NPI is 1043019821. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5 RIVERDALE AVE
TEWKSBURY, MA
ZIP 01876-332
Phone: (781) 330-5932

The enumeration date for this NPI number is 3/12/2025 and was last updated on 3/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN2369613MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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