Individual
SUSAN RAYMOND MARCOULIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
87 N MAIN ST, LEOMINSTER, MA 01453-5507
(978) 534-8701
Mailing address
16 COLE RD, STERLING, MA 01564-2237
(978) 790-4207
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN205674
MA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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