Healthcare Provider Details
I. General information
NPI: 1861312142
Provider Name (Legal Business Name): PEARL HEALTH AND WELLNESS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 MALL RD STE 301
BURLINGTON MA
01803-4131
US
IV. Provider business mailing address
10 MALL RD STE 301
BURLINGTON MA
01803-4131
US
V. Phone/Fax
- Phone: 774-386-4074
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NAMANDE
MUSOKE
Title or Position: OWNER
Credential:
Phone: 774-386-4074