Individual
MRS. SUSAN LEE KRUPNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, ELLISON 1, BOSTON, MA 02114-2621
(617) 643-2307
(617) 643-2272
Mailing address
119 RICHARDSON CORNER RD, CHARLTON, MA 01507-1431
(508) 248-7108
(508) 248-7108
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209891
MA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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