Individual
SUSHMA GURUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2326337
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MG1165946N
MCSR NO
MA
Enumeration date
10/19/2012
Last updated
01/02/2023
Update your record
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