MEDICARE: MS. ANALESA BARAKA N.P.

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	363LG0600X	Gerontology Nurse Practitioner	RN276666	MA
2	363LA2100X	Acute Care Nurse Practitioner	RN276666	MA
3	363L00000X	Nurse Practitioner	RN276666	MA
4	363LA2200X	Adult Health Nurse Practitioner	RN276666	MA

General Provider Information

NPI Number	:	1659706976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANALESA BARAKA N.P.

Provider Business Mailing Address
First Line	:	150 S HUNTINGTON AVE BLDG F
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-4817
Country	:	US
Telephone Number	:	857-364-3642
Fax Number	:	857-364-4484

Provider Business Practice Location Address
First Line	:	150 S HUNTINGTON AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-4893
Country	:	US
Telephone Number	:	857-364-3640
Fax Number	:	857-364-4484

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

Provider Enumeration Date	:	09/05/2013
Last Update Date	:	09/19/2025

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