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NPI Code Detail

MEDICARE: SUSAN MCALLISTER NP

MEDICARE:   SUSAN  MCALLISTER  NP
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
1363LF0000XFamily Nurse Practitioner143280MA

General Provider Information

NPI Number : 1467595769
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN MCALLISTER NP
Provider Business Mailing Address
First Line : 147 S MAIN ST
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-2446
Country : US
Telephone Number : 978-774-2555
Fax Number : 978-774-8715
Provider Business Practice Location Address
First Line : 147 S MAIN ST
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-2446
Country : US
Telephone Number : 978-774-2555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2007
Last Update Date : 09/14/2016

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Directions to “ SUSAN MCALLISTER NP” Practice Location

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