Healthcare Provider Details

I. General information

NPI: 1578312344
Provider Name (Legal Business Name): COMPREHENSIVE PRIMARY ALLCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 SUTTON ST
NORTH ANDOVER MA
01845-1639
US

IV. Provider business mailing address

217 SUTTON ST
NORTH ANDOVER MA
01845-1639
US

V. Phone/Fax

Practice location:
  • Phone: 781-583-1355
  • Fax: 781-358-0770
Mailing address:
  • Phone: 781-583-1355
  • Fax: 781-358-0770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MONICAH W KAGUNGO
Title or Position: FAMILY NURSE PRACTITIONER
Credential: NP
Phone: 781-413-7505