JUDITH M MULAGE NPI 1619306933

NPI Information

NPI: 1619306933
Provider Name: JUDITH M MULAGE
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
85 PRESCOTT ST STE 403
WORCESTER, MA
ZIP 01605
Phone: (508) 753-7259
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Judith M Mulage is an acute care nurse practitioner in Worcester, MA. Judith M Mulage NPI is 1619306933. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

85 PRESCOTT ST STE 403
WORCESTER, MA
ZIP 01605-671
Phone: (508) 753-7259

The NPI 1619306933 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2013 and was last updated on 11/25/2019.

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
1	163W00000X	Registered Nurse		RN2290056	MASSACHUSETTS	No
2	363L00000X	Nurse Practitioner		RN2290056	MASSACHUSETTS	No
3	363LA2200X	Nurse Practitioner	Adult Health	RN2290056	MASSACHUSETTS	No
4	363LG0600X	Nurse Practitioner	Gerontology	RN2290056	MASSACHUSETTS	No
5	363LP2300X	Nurse Practitioner	Primary Care	RN2290056	MASSACHUSETTS	No
6	363LA2100X	Nurse Practitioner	Acute Care	RN2290056	MASSACHUSETTS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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