NPIRadar

Susan C Dedominicis, MSN, NP-C Valid NPI

Individual provider · Family Nurse Practitioner · Swampscott, MA

NPI
1891154712
Type
Individual (Type 1)
Primary specialty
Family Nurse Practitioner (Nurse Practitioner)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363LF0000X
License number
RN2290806 (MA)
Sex
Female
Sole proprietor
No
Enumerated
2016-02-19
Last updated
2021-12-16
Practice location
990 Paradise Road
Swampscott, MA 01907
(781) 595-0151

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