Individual
MS. SUSAN ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3130 STATE HWY RTE 6, WELLFLEET, MA 02667-7402
(508) 349-3131
(508) 349-1311
Mailing address
PO BOX 1413, WELLFLEET, MA 02667-1413
(508) 349-3131
(508) 349-1311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
266415
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN266415
STATE LICENSE
MA
Enumeration date
06/01/2005
Last updated
01/13/2014
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