IndividualActive
Angella Kamikazi
NPI 1871313148 · Licensed Practical Nurse · Waltham, MA
Provider details
- NPI number
- 1871313148
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LN102703 (MA)
Specialties & taxonomies
Nursing Service Providers
Practice location
879 Lexington St Apt 19a
Waltham, MA 02452-4851
Phone: (508) 904-8108
Approximate (ZIP-level) locationGet directions
Mailing address
879 Lexington St Apt 19a
Waltham, MA 02452-4851
Registry dates
- Enumerated
- 2024-10-11
- Last updated
- 2024-10-11
- Certified
- 2024-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.