BRIDGET BASILE IBRAHIM NPI 1437587219

NPI Information

NPI: 1437587219
Provider Name: BRIDGET BASILE IBRAHIM
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1575 BLUE HILL AVE
MATTAPAN COMMUNITY HEALTH CENTER
BOSTON, MA
ZIP 02126
Phone: (617) 296-0061
Get Directions

Bridget Basile Ibrahim is a family nurse practitioner in Boston, MA. Bridget Basile Ibrahim NPI is 1437587219. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1575 BLUE HILL AVE
MATTAPAN COMMUNITY HEALTH CENTER
BOSTON, MA
ZIP 02126-122
Phone: (617) 296-0061
Fax: (617) 296-5408

The enumeration date for this NPI number is 10/14/2013 and was last updated on 10/14/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN270470	MASSACHUSETTS	Yes

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

NPI Synchronization or Removal

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