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MR. JAMES G LIEBAU ANP NPI 1124243761


NPI Information

NPI: 1124243761
Provider Name: MR. JAMES G LIEBAU, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
55 FRUIT ST
MGH LON207
BOSTON, MA
ZIP 02114
Phone: (617) 724-6926
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MR. James G Liebau, ANP is an adult health nurse practitioner in Boston, MA. MR. James G Liebau, ANP NPI is 1124243761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 FRUIT ST
MGH LON207
BOSTON, MA
ZIP 02114-621
Phone: (617) 724-6926
Fax: (617) 724-8998

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health250459MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.