Nursing Yellow Pages

Nurses, Nursing Specialists, Nurse Practitioners
Physician Assistants, Nursing Homes and Facilities

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MS. SUSAN CAROL WILLSON-GOUCHER RN, NP

Nursing Yellow Pages

Boston, Massachusetts

Provider NPI: 1912120270

Provider Information:
MS. SUSAN CAROL WILLSON-GOUCHER RN, NP


Practice Location:
850 HARRISON AVE YACC 4 BOSTON, MA 02118 US
Tel: 617-414-2080  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
MARN141147

Other Provider Identifiers:

IssuerNumberStateType
110087703AMA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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