Individual
CHRISTINE ANN SURRETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SANDERSDALE RD, SOUTHBRIDGE, MA 01550
(774) 420-2311
Mailing address
11 SANDERSDALE RD, SOUTHBRIDGE, MA 01550
(774) 420-2311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN282941
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110116445A
—
MA
Enumeration date
07/10/2018
Last updated
07/10/2018
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