Healthcare Provider Details

I. General information

NPI: 1891606323
Provider Name (Legal Business Name): NAJIA HIMMOU AMARA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 TOWER ST
SOMERVILLE MA
02143-1426
US

IV. Provider business mailing address

64 BRAZIL ST
MELROSE MA
02176-6002
US

V. Phone/Fax

Practice location:
  • Phone: 617-591-4710
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0405099
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: