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Individual

SUSAN K PLANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
145823
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145823
TUFTS HEALTH PLAN
MA
01
30066-1
BC BS OF RHODE ISLAND
RI
01
CP0091
BC BS CARE 65
MA
01
PN0714
BC BS OF MA
MA
Enumeration date
07/11/2006
Last updated
10/19/2010
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