Healthcare Provider Details

I. General information

NPI: 1003770066
Provider Name (Legal Business Name): BARBARA EVA SSEMPA RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 LOCUST ST UNIT 1
WOBURN MA
01801-4053
US

IV. Provider business mailing address

285 LOCUST ST UNIT 1
WOBURN MA
01801-4053
US

V. Phone/Fax

Practice location:
  • Phone: 339-927-3245
  • Fax:
Mailing address:
  • Phone: 339-927-3245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2282598
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: