Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Immigrant Community Development Center Inc

Organization Occupational Health Nurse Practitioner · NPI 1366382541

Immigrant Community Development Center Inc is an Occupational Health Nurse Practitioner in Springfield, Massachusetts. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

299 Carew St Ste 134
Springfield, MA 01104-2361
Phone: (413) 291-9020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Health Nurse Practitioner (primary) Taxonomy 363LX0106X

Record details

NPI number1366382541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rawan Ebrahim — Officer · (413) 291-9020
NPI enumeratedMarch 30, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address26 Beaudry St, Indian Orchard, MA 01151-1704