Doctor Name: | MS. SUSAN LYNN ZORB |
NPI Number: | 1508120114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, NP |
License Number: | 121908 |
Business Practice Address: | 2042 Beacon St Waban, MA - 024681444 |
Business Phone Number: | 6179696130 |
Business Fax Number: | |
Mailing Address: | 2042 Beacon St, WABAN |
State: | MA |
Postal Code: | 024681444 |
Phone Number: | 6179696130 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2012 |
NPI Last Update Date: | 06/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 121908 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |