Healthcare Provider Details

I. General information

NPI: 1740109974
Provider Name (Legal Business Name): MILDRED NAKITARE BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 HOLY FAMILY RD
HOLYOKE MA
01040-2701
US

IV. Provider business mailing address

46 PASCO RD
INDIAN ORCHARD MA
01151-1533
US

V. Phone/Fax

Practice location:
  • Phone: 413-532-3246
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN2310483
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License NumberRN2310483
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN2310483
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: