Susan K Spang is a Nurse Practitioner in Medford, Massachusetts. Susan K Spang practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan K Spang is 1548313620. The last update date is 2007-07-08.
Susan K Spang's current location address is 26 City Hall Mall, Medford, Massachusetts. You can contact this provider via phone number 7813065100. The mailing address for Susan K Spang is 26 City Hall Mall, Medford, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan K Spang |
|---|---|
| Address | 26 City Hall Mall, Medford, Massachusetts |
| Phone Number | 7813065100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1548313620 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 26 City Hall Mall |
|---|---|
| City | Medford |
| State | Massachusetts (MA) |
| Post Code | 21554754 |
| Phone Number | 7813065100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 139116 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP1384 | MA | BCBS | |
| 359050 | MA | -- | |
| N469 | MA | HPHC |
Post Comment/ Review Below
What is the Susan K Spang's 1548313620?
The Susan K Spang's NPI (National Provider Identifier) Number is 1548313620. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susan K Spang's facilities are situated?
The facilities of Susan K Spang are physically located at the following address: 26 City Hall Mall, Medford, MA, 21554754.
What is Susan K Spang's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan K Spang's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
When did the Susan K Spang receive its 1548313620?
The Susan K Spang was issued its 1548313620 on 2007-01-19, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Susan K Spang last refreshed?
The information related to the Susan K Spang, including its address, specialty, and other relevant details, was last updated on 2007-07-08.