Individual
SUZETTE DORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16 TICKLEFANCY LN, SALEM, NH 03079-4044
(978) 802-0413
Mailing address
16 TICKLEFANCY LN, SALEM, NH 03079-4044
(978) 802-0413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2306728
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2306728
MA
Other
Enumeration date
07/19/2021
Last updated
02/08/2023
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