Healthcare Provider Details

I. General information

NPI: 1730094160
Provider Name (Legal Business Name): PAULINE TUMUHEIRWE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 RIVERHURST RD APT 409
BILLERICA MA
01821-3493
US

IV. Provider business mailing address

4 RIVERHURST RD
BILLERICA MA
01821-3464
US

V. Phone/Fax

Practice location:
  • Phone: 457-988-4740
  • Fax:
Mailing address:
  • Phone: 457-988-4740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberCNA-144167
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: