Individual
SUZANE BARBARA BAZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ANP
Contact information
Practice address
55 FRUIT ST, COX 626, BOSTON, MA 02114-2621
(617) 724-0070
(617) 643-2899
Mailing address
55 FRUIT ST, COX 626, BOSTON, MA 02114-2621
(617) 724-0070
(617) 643-2899
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
195852
MA
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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