Active NPIIndividual provider

Ms. Susan E Connolly, RN

Registered Nurse in Brockton, Massachusetts

NPI Number1386948008
Practice location
1115 W Chestnut St, South Bay Mental Health Center, Brockton, MA 02301-7501
Fax
150-842-7536
Last updated
January 10, 2011

Susan Evelyn Connolly is a Registered Nurse based in Brockton, MA. Susan Evelyn Connolly practices in Brockton, MA and has the professional credentials of RN. The NPI Number for Susan Evelyn Connolly is 1386948008 and holds a License No. RN2268656 (MA). The current practice location address for Susan Evelyn Connolly is 1115 W Chestnut St, South Bay Mental Health Center, Brockton, MA 02301-7501 and can be reached out via phone at 150-855-9047 and via fax at 150-842-7536.

Provider Profile Details

NPI Number
1386948008
Provider Name
Susan Evelyn Connolly
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1115 W Chestnut St, South Bay Mental Health Center, Brockton, MA 02301-7501
Phone Number
150-855-9047
Fax Number
150-842-7536
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
No
Provider Enumeration Date
January 10, 2011
Last Update Date
January 10, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1115 W Chestnut St
South Bay Mental Health Center
Brockton, MA 02301-7501
Zip
02301-7501
Phone Number
150-855-9047
Fax Number
150-842-7536
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
1115 W Chestnut St
South Bay Mental Health Center
Brockton, MA 02301-7501
City
Brockton
State
MA
Zip
02301-7501
Phone Number
150-855-9047
Fax Number
150-842-7536

License Information

License Number
RN2268656
License State
MA
Taxonomy
Registered Nurse · 163W00000X · 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 Ms. Susan E Connolly, RN?

The NPI number of Ms. Susan E Connolly, RN is 1386948008. It was assigned on January 10, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Susan E Connolly, RN?

Ms. Susan E Connolly, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number RN2268656.

Where does Ms. Susan E Connolly, RN practice?

The practice location is 1115 W Chestnut St, South Bay Mental Health Center, Brockton, MA 02301-7501. The office can be reached at 150-855-9047 (phone) or 150-842-7536 (fax).

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 1386948008 directly on the NPPES registry website.

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