Individual
MRS. SUSAN H. RODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
49 HARRY KEMP WAY, OUTER CAPE HEALTH, PROVINCETOWN, MA 02657-1618
(508) 487-9395
(508) 487-3285
Mailing address
PO BOX 1413, WELLFLEET, MA 02667
(508) 240-0208
(508) 240-0499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
MA113351
MA
363LP0200X
Pediatric Nurse Practitioner
MA113351
MA
Other
Enumeration date
12/26/2006
Last updated
12/08/2011
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