Healthcare Provider Details

I. General information

NPI: 1528930757
Provider Name (Legal Business Name): CYNTHIA ABENA OWUSU-BOAKYE DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CINDY OWUSU-BOAKYE

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 ALBANY ST
BOSTON MA
02118-2755
US

IV. Provider business mailing address

258 DERBY ST UNIT 1
WEST NEWTON MA
02465-1044
US

V. Phone/Fax

Practice location:
  • Phone: 857-654-1000
  • Fax:
Mailing address:
  • Phone: 617-735-5920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN228409
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20255042560
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: