Individual
SUSAN NDERITU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152 FENLEY ST, REVERE, MA 02151-2341
(978) 328-8637
Mailing address
152 FENLEY ST, REVERE, MA 02151-2341
(978) 328-8637
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023035148
MA
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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