IndividualActive
Nathanaelle Ibeziako
NPI 1669007456 · Student Health Clinic/Center · Boston, MA
Provider details
- NPI number
- 1669007456
- Entity type
- Individual
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
145 Harrison Ave
Boston, MA 02111-1802
Phone: (617) 636-7000
Approximate (ZIP-level) locationGet directions
Mailing address
145 Harrison Ave
Boston, MA 02111-1802
Registry dates
- Enumerated
- 2020-03-11
- Last updated
- 2020-03-11
- Certified
- 2020-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.