Individual
MR. MARK R SUGHRUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN-BC
Contact information
Practice address
21 PEABODY DR, BRENTWOOD, NH 03833-6424
(603) 347-5520
Mailing address
21 PEABODY DR, BRENTWOOD, NH 03833-6424
(603) 347-5520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
058300-23
NH
363L00000X
Nurse Practitioner
CNP231045
ME
363L00000X
Nurse Practitioner
RN250422
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30346055
—
NH
Enumeration date
03/30/2007
Last updated
05/16/2023
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