Individual
GIEBIAM NICOLE REVERON-AGUILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
551 BOYLSTON ST STE 4, BOSTON, MA 02116-3680
(617) 658-3421
Mailing address
551 BOYLSTON ST STE 4, BOSTON, MA 02116-3680
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2327354
MA
Other
Enumeration date
08/09/2025
Last updated
10/20/2025
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