person
Susan Alice Smith, FNP
Family Nurse Practitioner in Pittsfield, Massachusetts
NPI 1053431940

Susan Alice Smith is a Family Nurse Practitioner based in Pittsfield, MA and is specialized in Family. Susan Alice Smith practices in Pittsfield, MA and has the professional credentials of FNP. The NPI Number for Susan Alice Smith is 1053431940 and holds a License No. 156578 (Massachusetts).

The current practice location address for Susan Alice Smith is 165 Tor Ct, Pittsfield, MA and can be reached out via phone at 413-447-2862 and via fax at 413-395-7990. You can also correspond with Susan Alice Smith through the mailing address at 165 TOR CT, PITTSFIELD, MA - 01201-3001 (mailing address contact number: 413-447-2862).

Location: 165 Tor Ct, Pittsfield, MA, 01201-3001
person
Provider Profile Details
NPI Number
1053431940
Provider Name
Susan Alice Smith
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
165 Tor Ct, Pittsfield, MA, 01201-3001
Phone Number
413-447-2862
Fax Number
413-395-7990
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA156578 01 MA MASS LICENSE
institution
Provider Business Practice Location Address Details
Address
165 Tor Ct
City
State
Zip
01201-3001
Phone Number
413-447-2862
Fax Number
413-395-7990
person
Provider Business Mailing Address Details
Address
165 Tor Ct
City
State
Zip
01201-3001
Phone Number
413-447-2862
Fax Number
413-395-7990
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
156578 (Massachusetts)
Definition
Definition to come...
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