Doctor Name: | SUSAN P STEVENS |
NPI Number: | 1487610168 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN BC |
License Number: | 236049 |
Business Practice Address: | 154 E Main St Westboro, MA - 01581 |
Business Phone Number: | 5088700647 |
Business Fax Number: | 5087996325 |
Mailing Address: | 1 Carol Ann Dr, HOPKINTON |
State: | MA |
Postal Code: | 01748 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 236049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |