Individual provider · Type 1 NPI

Lyan Khanji, AGACNP-BC

Acute Care Nurse Practitioner · Boston, MA

NPI number 1578417002 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Mailing address

167 Fairway Dr
Attleboro, MA 02703-2739

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XRN2353430 (MA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1578417002

Lyan Khanji, AGACNP-BC's National Provider Identifier is 1578417002, issued on Feb 23, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Boston, MA. The record was last updated on Feb 23, 2026.