Susan Ellen Gaughan in Centerville - Nurse Practitioner
Susan Ellen Gaughan - NPI 1710990148
Susan Ellen Gaughan is a Nurse Practitioner in Centerville, Massachusetts. Susan Ellen Gaughan practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan Ellen Gaughan is 1710990148. The last update date is 2007-07-09.
Susan Ellen Gaughan's current location address is 87 Liam Lane, Centerville, Massachusetts. You can contact this provider via phone number 5084209726 and fax number 5084208204. The mailing address for Susan Ellen Gaughan is 87 Liam Lane, Centerville, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Ellen Gaughan |
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Address | 87 Liam Lane, Centerville, Massachusetts |
Phone Number | 5084209726 |
Fax Number | 5084208204 |
Sole Proprietor | N |
Credentials | NP |
NPI Number Detail
NPI Number | 1710990148 |
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Provider Enumeration Date | 2006-08-15 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 87 Liam Lane |
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City | Centerville |
State | Massachusetts (MA) |
Post Code | 26323354 |
Phone Number | 5084209726 |
Fax Number | 5084208204 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 94922 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
378241 | MA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Ellen Gaughan?
The Susan Ellen Gaughan has been issued the NPI (National Provider Identifier) 1710990148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Susan Ellen Gaughan's facilities are geographically located?
The facilities of Susan Ellen Gaughan are physically situated at the following location: 87 Liam Lane, Centerville, MA, 26323354.
What is Susan Ellen Gaughan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Ellen Gaughan is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Susan Ellen Gaughan receive its 1710990148 assignment from the Centers for Medicare & Medicaid Services?
The Susan Ellen Gaughan was assigned its 1710990148 by the Centers for Medicare & Medicaid Services on 2006-08-15.
When was the information regarding Susan Ellen Gaughan most recently updated?
The details pertaining to the Susan Ellen Gaughan, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
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