Susan Ellen Gaughan NP

NPI 1710990148 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1710990148
Gender Female
Enumeration Date 08/15/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
87 LIAM LANE
CENTERVILLE MA, 02632-3354, US
Phone (508) 420-9726
Fax (508) 420-8204
Business Location
87 LIAM LANE
CENTERVILLE MA, 02632-3354, US
Phone (508) 420-9726
Fax (508) 420-8204
Toxanomy
Taxonomy Code 363L00000X
License State Massachusetts
License Number 94922
Remove 1710990148 NPI Number
 

According to our database, Susan Ellen Gaughan NP NPI is 1710990148, taxonomy code is 363L00000X and license number is 94922, license state is located at Massachusetts. Susan Ellen Gaughan NP physically located at 87 Liam Lane, Centerville MA, 02632-3354. NPI Number Susan Ellen Gaughan NP has the Individual type.

Sponsored links

1710990148 NPI number is provided on an as is basis without warranty of any kind. 1710990148 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Ellen Gaughan NP are for informational purposes only.