Healthcare Provider Details

I. General information

NPI: 1932032349
Provider Name (Legal Business Name): GLO METABOLIC HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WASHINGTON MALL
BOSTON MA
02108-2616
US

IV. Provider business mailing address

1 WASHINGTON MALL STE 1048
BOSTON MA
02108-2603
US

V. Phone/Fax

Practice location:
  • Phone: 617-433-7581
  • Fax:
Mailing address:
  • Phone: 617-433-7581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GLORIA IHEUWA
Title or Position: MEMBER / MANAGER
Credential: FNP-BC
Phone: 617-433-7581