Active NPIIndividual provider

Nazaire B Nzikoba, CNP

Nurse Practitioner in Roxbury, Massachusetts

NPI Number1750968962
Practice location
1290 Tremont St, Roxbury, MA 02120-3432
Fax
617-858-2669
Last updated
April 5, 2023

Nazaire B. Nzikoba is a Nurse Practitioner based in Roxbury, MA. Nazaire B. Nzikoba practices in Roxbury, MA and has the professional credentials of CNP. The NPI Number for Nazaire B. Nzikoba is 1750968962 and holds a License No. RN2328665 (MA). The current practice location address for Nazaire B. Nzikoba is 1290 Tremont St, Roxbury, MA 02120-3432 and can be reached out via phone at 617-427-1000 and via fax at 617-858-2669.

Provider Profile Details

NPI Number
1750968962
Provider Name
Nazaire B. Nzikoba
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
1290 Tremont St, Roxbury, MA 02120-3432
Phone Number
617-427-1000
Fax Number
617-858-2669
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
March 24, 2021
Last Update Date
April 5, 2023
Certification Date
April 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1290 Tremont St
Roxbury, MA 02120-3432
Zip
02120-3432
Phone Number
617-427-1000
Fax Number
617-858-2669
Roxbury, MA 02120Get directions →

Provider Business Mailing Address Details

Address
14 Dearborn RD
Burlington, MA 01803-3017
City
Burlington
State
MA
Zip
01803-3017
Phone Number
617-669-8290

License Information

License Number
RN2328665
License State
MA
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nazaire B Nzikoba, CNP?

The NPI number of Nazaire B Nzikoba, CNP is 1750968962. It was assigned on March 24, 2021 and is currently active in the NPPES registry.

What is the specialty of Nazaire B Nzikoba, CNP?

Nazaire B Nzikoba, CNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2328665.

Where does Nazaire B Nzikoba, CNP practice?

The practice location is 1290 Tremont St, Roxbury, MA 02120-3432. The office can be reached at 617-427-1000 (phone) or 617-858-2669 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750968962 directly on the NPPES registry website.

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