Provider Demographics
NPI:1063234631
Name:MUYANJA, ANNBELLA BATTE
Entity type:Individual
Prefix:
First Name:ANNBELLA
Middle Name:BATTE
Last Name:MUYANJA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WESTGATE DR APT 107
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6429
Mailing Address - Country:US
Mailing Address - Phone:781-535-1362
Mailing Address - Fax:
Practice Address - Street 1:8 WESTGATE DR APT 107
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6429
Practice Address - Country:US
Practice Address - Phone:781-535-1362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN97293164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse