MEDICARE: BARBARA IBANDA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	RN2332839	MA

General Provider Information

NPI Number	:	1003773193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA IBANDA

Provider Business Mailing Address
First Line	:	15 CASTLEWOOD DR
Second Line	:
City	:	BILLERICA
State	:	MA
Zip	:	01821-3203
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 1ST AVE
Second Line	:
City	:	NEEDHAM HEIGHTS
State	:	MA
Zip	:	02494-2736
Country	:	US
Telephone Number	:	617-542-9991
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “ BARBARA IBANDA ” Practice Location

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