Most Relevant Information
Provider Data
| NPI Number: | 1003491119 |
| Provider Name: | IRENE MUCHAI PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 280997 |
Most Important Dates
| Enumeration Date: | 03/10/2021 |
| Last Updated: | 01/11/2022 |
Provider Practice Location
12 METHUEN ST
LAWRENCE
MA
018401772
Practice Location Phone/Fax
| Phone: | 9786201250 |
| Fax: |
Provider Mailing Location
107 WESTFORD ST
DUNSTABLE
MA
018272405
Provider Mailing Phone/Fax
| Phone: | 9785512218 |
| Fax: |