Provider Demographics
NPI:1770777963
Name:KASOZI, HARRIET J (FNP)
Entity type:Individual
Prefix:MS
First Name:HARRIET
Middle Name:J
Last Name:KASOZI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:HARRIET
Other - Middle Name:J
Other - Last Name:NAMUBIRU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:55 HIGHLAND AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2100
Mailing Address - Country:US
Mailing Address - Phone:978-354-4611
Mailing Address - Fax:978-354-4651
Practice Address - Street 1:55 HIGHLAND AVE STE 304
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2100
Practice Address - Country:US
Practice Address - Phone:978-354-4611
Practice Address - Fax:978-354-4651
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA256285363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily