Susan Andrea is a Family in Brockton, Massachusetts. Susan Andrea practices all healthcare services and medical treatments related to Family. The NPI Number for Susan Andrea is 1902966039. The last update date is 2016-11-04.
Susan Andrea's current location address is 111 Torrey St, Brockton, Massachusetts. You can contact this provider via phone number 5085881200 and fax number 5089410497. The mailing address for Susan Andrea is 111 Torrey St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Andrea |
|---|---|
| Address | 111 Torrey St, Brockton, Massachusetts |
| Phone Number | 5085881200 |
| Fax Number | 5089410497 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1902966039 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2016-11-04 |
Provider Mailing Address Detail
| Address | 111 Torrey St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23014800 |
| Phone Number | 5085881200 |
| Fax Number | 5089410497 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 149570 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 712604 | MA | -- |
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What is the unique identification code assigned to Susan Andrea by the Centers for Medicare & Medicaid Services?
The Susan Andrea has been issued the NPI (National Provider Identifier) 1902966039. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susan Andrea?
The Susan Andrea is physically situated at 111 Torrey St, in the city of Brockton, state of MA, with the postal code 23014800.
What is Susan Andrea's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan Andrea is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date was the 1902966039 assigned to Susan Andrea?
The Susan Andrea was issued its 1902966039 on 2006-12-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Susan Andrea most recently updated or revised?
The details related to Susan Andrea, including its address, specialty, and other relevant information, were last updated or revised on 2016-11-04.
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