Individual
SUSAN FARIST BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSNCS PHD
Contact information
Practice address
TRI CITY MHC, 173 CHELSEA ST, EVERETT, MA 02149
(781) 388-6200
Mailing address
14 CLINTON ST, CAMBRIDGE, MA 02139
(617) 492-0014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
131197
MA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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