Individual
MRS. SUSANNE MENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
55 FRUIT ST, FOUNDERS 600, DIVISION OF PALLIATIVE CARE, BOSTON, MA 02114-2621
(617) 643-3051
Mailing address
55 FRUIT ST, FOUNDER 600, PALLIATIVE CARE, BOSTON, MA 02114
(617) 643-3051
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN284374
MA
Other
Enumeration date
12/06/2007
Last updated
01/26/2015
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