Susan E Wicks NP

NPI 1730230137 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1730230137
Gender Female
Enumeration Date 01/15/2007
Last Updated 01/22/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
41 MALL RD
BURLINGTON MA, 01805-0001, US
Phone (781) 744-8000
Fax (781) 744-5044
Business Location
41 MALL RD
BURLINGTON MA, 01805-0001, US
Phone (781) 744-8000
Fax (781) 744-5044
Toxanomy
Taxonomy Code 363L00000X
License State Massachusetts
License Number 96226
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According to our database, Susan E Wicks NP NPI is 1730230137, taxonomy code is 363L00000X and license number is 96226, license state is located at Massachusetts. Susan E Wicks NP physically located at 41 Mall Rd, Burlington MA, 01805-0001. NPI Number Susan E Wicks NP has the Individual type.

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1730230137 NPI number is provided on an as is basis without warranty of any kind. 1730230137 is maintained by the National Plan & Provider Enumeration System. The contents of Susan E Wicks NP are for informational purposes only.