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NPI Code Detail

MEDICARE: AUDREY MUGISHA

MEDICARE:   AUDREY  MUGISHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult Companion
2373H00000XDay Training/Habilitation Specialist
3320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1104621952
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY MUGISHA
Provider Business Mailing Address
First Line : 2223 DODGE ST APT 3182223
Second Line :
City : OMAHA
State : NE
Zip : 68102-1912
Country : US
Telephone Number : 402-609-6320
Fax Number :
Provider Business Practice Location Address
First Line : 2223 DODGE ST APT 3182223
Second Line :
City : OMAHA
State : NE
Zip : 68102-1912
Country : US
Telephone Number : 402-609-6320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2025
Last Update Date : 05/02/2025

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Directions to “ AUDREY MUGISHA ” Practice Location

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