Individual
GERTY E SOUFFRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 RIPLEY DR, STOUGHTON, MA 02072-3588
(617) 447-9315
Mailing address
50 RIPLEY DR, STOUGHTON, MA 02072-3588
(617) 447-9315
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2258797
MA
363LA2200X
Adult Health Nurse Practitioner
RN2258797
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2258797
MA
Other
Enumeration date
12/01/2021
Last updated
12/09/2021
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