Active NPIIndividual provider

Mrs. Susan H Roderick, CFNP

Nurse Practitioner, Family in Provincetown, Massachusetts

NPI Number1518022045
Practice location
49 Harry Kemp Way, Outer Cape Health, Provincetown, MA 02657-1618
Fax
508-487-3285
Last updated
December 8, 2011

Susan H. Roderick is a Nurse Practitioner, Family based in Provincetown, MA. Susan H. Roderick practices in Provincetown, MA and has the professional credentials of CFNP. The NPI Number for Susan H. Roderick is 1518022045 and holds a License No. MA113351 (MA). The current practice location address for Susan H. Roderick is 49 Harry Kemp Way, Outer Cape Health, Provincetown, MA 02657-1618 and can be reached out via phone at 508-487-9395 and via fax at 508-487-3285.

Provider Profile Details

NPI Number
1518022045
Provider Name
Susan H. Roderick
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
49 Harry Kemp Way, Outer Cape Health, Provincetown, MA 02657-1618
Phone Number
508-487-9395
Fax Number
508-487-3285
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
December 26, 2006
Last Update Date
December 8, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Harry Kemp Way
Outer Cape Health
Provincetown, MA 02657-1618
Zip
02657-1618
Phone Number
508-487-9395
Fax Number
508-487-3285
Provincetown, MA 02657Get directions →

Provider Business Mailing Address Details

Address
Po Box 1413
Wellfleet, MA 02667
City
Wellfleet
State
MA
Zip
02667
Phone Number
508-240-0208
Fax Number
508-240-0499

License Information

License Number (1)
MA113351
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
MA113351
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Pediatrics · 363LP0200X

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 Mrs. Susan H Roderick, CFNP?

The NPI number of Mrs. Susan H Roderick, CFNP is 1518022045. It was assigned on December 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Susan H Roderick, CFNP?

Mrs. Susan H Roderick, CFNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number MA113351.

Where does Mrs. Susan H Roderick, CFNP practice?

The practice location is 49 Harry Kemp Way, Outer Cape Health, Provincetown, MA 02657-1618. The office can be reached at 508-487-9395 (phone) or 508-487-3285 (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 1518022045 directly on the NPPES registry website.

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