Individual
SUSAN CLARKSON MCGINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-6200
(857) 203-5567
Mailing address
411 BUNKER HILL ST, CHARLESTOWN, MA 02129-1719
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
205358
MA
363LA2200X
Adult Health Nurse Practitioner
205358
MA
Other
Enumeration date
08/28/2006
Last updated
08/02/2012
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