Individual provider · Type 1 NPI
James G. Liebau, ANP
Adult Health Nurse Practitioner · Boston, MA
NPI number
1124243761
Active
Practice location
55 Fruit St, Mgh LON207
Boston, MA 02114-2621
Fax (617) 724-8998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 250459 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1124243761
James G. Liebau, ANP's National Provider Identifier is 1124243761, issued on Apr 17, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.