Individual
MRS. THERESA M SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 973-5919
(508) 973-5916
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN182108
MA
363LA2200X
Adult Health Nurse Practitioner
182108
MA
Other
Enumeration date
04/01/2008
Last updated
04/27/2020
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