Individual provider · Type 1 NPI
Bukriya Othman Ibrahim, FNP
Family Nurse Practitioner · Syracuse, NY
NPI number
1801684998
Active
Practice location
750 E Adams St
Syracuse, NY 13210-2306
Mailing address
6273 Addison Loomis
Cicero, NY 13039-8685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 787254 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 356925 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1801684998
Bukriya Othman Ibrahim, FNP's National Provider Identifier is 1801684998, issued on Apr 28, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Syracuse, NY. The record was last updated on Jun 4, 2025.