Individual
SUZANNE CLARKE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
55 LAKE AVE N, PEDIATRICS / ADOLESCENT MEDICINE, WORCESTER, MA 01655-0002
(774) 442-2882
(774) 441-8045
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2287835
MA
363LP0200X
Pediatric Nurse Practitioner
RN2287835
MA
Other
Enumeration date
07/19/2013
Last updated
11/16/2020
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