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NPI Code Detail

MEDICARE: SUSAN K PLANTE APRN

MEDICARE:   SUSAN K PLANTE  APRN
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
1364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist145823MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
130066-1OTHERRIBC BS OF RHODE ISLAND
2PN0714OTHERMABC BS OF MA
3145823OTHERMATUFTS HEALTH PLAN
4CP0091OTHERMABC BS CARE 65

General Provider Information

NPI Number : 1285669127
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN K PLANTE APRN
Provider Business Mailing Address
First Line : 115 MAIN ST
Second Line : SUITE 2D
City : NORTH EASTON
State : MA
Zip : 02356-1468
Country : US
Telephone Number : 508-238-7766
Fax Number : 508-230-5089
Provider Business Practice Location Address
First Line : 115 MAIN ST
Second Line : SUITE 2D
City : NORTH EASTON
State : MA
Zip : 02356-1443
Country : US
Telephone Number : 508-238-7766
Fax Number : 508-230-5089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 10/19/2010

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