Individual
MS. SUSAN ELIZABETH MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
221 FITZGERALD DR, NEW BEDFORD, MA 02745-3426
(508) 996-4600
Mailing address
PO BOX 72, 76 PLEASANT STREET, MARION, MA 02738-0002
(508) 748-1445
(508) 748-0461
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
138353
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701386
—
MA
Enumeration date
07/11/2006
Last updated
07/08/2007
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