Individual
SUSAN C SKAPARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5521
(508) 894-0400
(508) 894-0617
Mailing address
110 LIBERTY ST, BROCKTON, MA 02301-5521
(508) 894-0400
(508) 894-0617
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110835
MA
363LF0000X
Family Nurse Practitioner
110835
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0327701
—
MA
01
—
39430
HARVARD PILGRIM
MA
01
—
NP0465
BLUE CROSS
MA
Enumeration date
04/26/2006
Last updated
06/13/2011
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