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Individual

SUSHMA GURUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1049 MAIN ST, SPRINGFIELD, MA 01103-2114
(413) 739-1100
(413) 735-1133
Mailing address
1049 MAIN ST, SPRINGFIELD, MA 01103-2114
(413) 739-1100
(413) 735-1133

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
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