Individual
MS. SUSAN M COURNOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25 BOND ST, SPRINGFIELD, MA 01104-3401
(413) 731-6000
Mailing address
25 BOND ST, SPRINGFIELD, MA 01104-3401
(413) 731-6000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
120044
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0703966
—
MA
Enumeration date
09/24/2006
Last updated
10/29/2010
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