Individual provider · Type 1 NPI
Ifeoma Ikwuanusi
Psychiatric/Mental Health Nurse Practitioner · Boston, MA
NPI number
1245093582
Active
Practice location
800 Boylston St
Boston, MA 02199-1900
Mailing address
46 Fernandez Cir
Randolph, MA 02368-4906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2346110 (MA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2346110 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1245093582
Ifeoma Ikwuanusi's National Provider Identifier is 1245093582, issued on Jan 31, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boston, MA. The record was last updated on Sep 21, 2025.