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Marise L Sugarman, NP
Pediatric Nurse Practitioner in Braintree, Massachusetts
NPI 1174591176

Marise L Sugarman is a Pediatric Nurse Practitioner based in Boston, MA and is specialized in Pediatrics. Marise L Sugarman practices in Braintree, MA and has the professional credentials of NP. The NPI Number for Marise L Sugarman is 1174591176 and holds a License No. 123290 (Massachusetts).

The current practice location address for Marise L Sugarman is 111 Grossman Dr, Braintree, MA and can be reached out via phone at 781-849-1000.

Location: 111 Grossman Dr, Braintree, MA, 02109-4806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174591176
Provider Name
Marise L Sugarman
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
111 Grossman Dr, Braintree, MA, 02109-4806
Phone Number
781-849-1000
Fax Number
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP9992 01 MA BLUE CROSS
PN740 01 MA HARVARD PILGRIM
0359700 05 MA
institution
Provider Business Practice Location Address Details
Address
111 Grossman Dr
City
Braintree
State
Massachusetts
Zip
02184-4997
Phone Number
781-849-1000
Fax Number
person
Provider Business Mailing Address Details
Address
111 Grossman Dr
City
Braintree
State
Massachusetts
Zip
02184-4997
Phone Number
781-849-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
123290 (Massachusetts)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
123290 (Massachusetts)
Definition
Definition to come...
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