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

Iliana Vanessa Guadalupe Menjivar, RN

Individual provider Pediatric Nurse Practitioner · NPI 1902479728

Iliana Vanessa Guadalupe Menjivar, RN is a Pediatric Nurse Practitioner in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN2351288 (MA)

Record details

NPI number1902479728
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 20, 2021
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

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