Individual
MRS. SUSAN MARIE GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
759 GRANITE ST, BRAINTREE, MA 02184-5328
(781) 848-1950
(781) 356-4887
Mailing address
759 GRANITE ST, BRAINTREE, MA 02184-5328
(781) 848-1950
(781) 356-4887
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN278087
MA
Other
Enumeration date
12/19/2010
Last updated
12/19/2010
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