Individual
SAMANTHA SISSKIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2312356
MA
363LA2100X
Acute Care Nurse Practitioner
RN2312356
MA
Other
Enumeration date
12/26/2018
Last updated
03/14/2022
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