Raissa Mutuyimana
Nurse Practitioner (Psychiatric/Mental Health)

Address: 5050 Parkside Ave Ste 2, Philadelphia, PA 19131-4751
Phone: 6027908059

Raissa Mutuyimana (NPI# 1902442874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1902442874
Entity Type Individual
Full Name Raissa Mutuyimana
Credential NP
Gender Female
Practice Address 5050 Parkside Ave Ste 2
PA 19131-4751
Practice Telephone 6027908059
Mailing Address 418 Curie Blvd
PA 19104-4217
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-11-26
Last Update Date 2019-11-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LP0808X Nurse Practitioner · Psychiatric/Mental Health Physician Assistants & Advanced Practice Nursing Providers SP021157 PA

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

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1891048377 Elizabeth Ann Milburn Nurse Practitioner 1528 Walnut St Ste 1414, Philadelphia, PA 19102-3610 2012-10-20
1336410851 Justin Egoville Nurse Practitioner 80001 State Rd., Mhm Correctional Services, Mod II, Philadelphia, PA 19136-0000 2012-01-13
1225353840 Noel Palmer Nurse Practitioner 16270 Highway 21 S, Philadelphia, MS 39350-7762 2010-04-07
1851615066 Jay Edward Roth Nurse Practitioner 706 S 11th St, #3b, Philadelphia, PA 19147-1968 2010-03-16
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Office Location

Street Address 5050 PARKSIDE AVE STE 2
State PA
Zip Code 19131-4751

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821629254 Stephen Osowski Student in an Organized Health Care Education/Training Program 4170 City Avenue, Philadelphia, PA 19131 2020-02-04
1134774888 Arti D Mistry Dentist 1126 Horsham Road, Philadelphia, PW 19131 2019-08-08
1275187221 Grace Bernadette Farrelly Occupational Therapist 2101 Simpson House, Philadelphia, PA 19131 2019-07-29
1235795204 Isd Renal Inc Clinic/Center 4952 Parkside Ave, Philadelphia, PA 19131 2019-05-15
1922502582 Kevin David Wojcik Student in an Organized Health Care Education/Training Program Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 2018-03-20
1235633900 Nadja Hill Home Health 5203 Diamond Street, Philadelphia, PA 19131 2018-03-19
1932623857 Mercy Management of Sepa Social Worker 1575 N 52nd St Ste 800, Philadelphia, PA 19131 2017-08-02
1578092235 Sarah Marie Hoder Specialist/Technologist 4000 Presidential Avenue, Philadlephia, PA 19131 2017-06-07
1588104988 Attentive Care Service Agency, Inc. In Home Supportive Care 5070 Parkside Ave Ste 1421, Philadelphia, PA 19131 2017-03-03
1962942771 American Management Group Dentist 3900 City Avenue Apt W1101, Philadelphia, PA 19131 2017-02-27
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Zip Code 19131

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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