Provider Demographics
NPI:1578381950
Name:MUSYOKI, JUDY MBINYA (REGISTERED NURSE)
Entity type:Individual
Prefix:MISS
First Name:JUDY
Middle Name:MBINYA
Last Name:MUSYOKI
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CONIFER HILL DR APT 231
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1185
Mailing Address - Country:US
Mailing Address - Phone:978-766-9850
Mailing Address - Fax:
Practice Address - Street 1:121 CONIFER HILL DR APT 231
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1185
Practice Address - Country:US
Practice Address - Phone:978-766-9850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2358093163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse