Individual
SUSAN WAREING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 MILL ROAD, SUITE 180, FAIRHAVEN, MA 02719
(508) 973-2160
(508) 973-2176
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-3000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
215645
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN215645
MA
363LA2200X
Adult Health Nurse Practitioner
RN39391
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215645
STATE LICENSE
MA
01
—
RN39391
STATE LICENSE
RI
Enumeration date
07/18/2006
Last updated
11/15/2013
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