MEDICARE: FIONA SOUCIE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN2354186	MA

General Provider Information

NPI Number	:	1124853130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FIONA SOUCIE RN

Provider Business Mailing Address
First Line	:	600 FOREST ST
Second Line	:
City	:	BRIDGEWATER
State	:	MA
Zip	:	02324-2919
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 FOREST ST
Second Line	:
City	:	BRIDGEWATER
State	:	MA
Zip	:	02324-2919
Country	:	US
Telephone Number	:	978-227-8292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2024
Last Update Date	:	09/09/2024

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