Local City Search for Nurses, Advanced Nurse Practitioners, Physician Assistants and Care FacilitiesMS. 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:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health | MA | RN141147 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 110087703A | MA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
