Active NPIIndividual provider

Marise L Sugarman, NP

Nurse Practitioner, Pediatrics in Braintree, Massachusetts

NPI Number1174591176
Practice location
111 Grossman Dr, Braintree, MA 02184-4997
Fax
—
Last updated
January 10, 2014

Marise L Sugarman is a Nurse Practitioner, Pediatrics based in Braintree, MA. 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 (MA). The current practice location address for Marise L Sugarman is 111 Grossman Dr, Braintree, MA 02184-4997 and can be reached out via phone at 781-849-1000.

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 02184-4997
Phone Number
781-849-1000
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
March 8, 2006
Last Update Date
January 10, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Grossman Dr
Braintree, MA 02184-4997
Zip
02184-4997
Phone Number
781-849-1000
Braintree, MA 02184Get directions →

Provider Business Mailing Address Details

Address
147 Milk St
Provider Enrollment - 9TH Floor
Boston, MA 02109-4806
City
Boston
State
MA
Zip
02109-4806
Phone Number
617-559-8239

License Information

License Number (1)
123290
License State (1)
MA
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
123290
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marise L Sugarman, NP?

The NPI number of Marise L Sugarman, NP is 1174591176. It was assigned on March 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Marise L Sugarman, NP?

Marise L Sugarman, NP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number 123290.

Where does Marise L Sugarman, NP practice?

The practice location is 111 Grossman Dr, Braintree, MA 02184-4997. The office can be reached at 781-849-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174591176 directly on the NPPES registry website.

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