Individual
MRS. TRACEY ELIZABETH SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
9 MOLONEY ST, WEST ROXBURY, MA 02132-4911
(617) 327-0870
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
236450
MA
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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