Individual
SUSAN COLLI WASSELUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
94 MAIN ST, HYANNIS, MA 02601-3146
(413) 478-2054
Mailing address
105 PARK ST, HYANNIS, MA 02601-5205
(413) 478-2054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2267834
MA
Other
Enumeration date
08/13/2010
Last updated
05/12/2026
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