Individual
SUSAN MICHELE LEIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 TREMONT ST, DUXBURY, MA 02332-5310
(781) 934-0172
Mailing address
139 SANDWICH ST, PLYMOUTH, MA 02360-2449
(781) 934-0172
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
156389
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018304
NEIGHBORHOOD HEALTH PLA
—
01
—
NP1182
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/05/2006
Last updated
01/27/2016
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