Active NPIIndividual providerSole proprietor

Susan Nderitu

Nurse Practitioner, Psych/Mental Health in Revere, Massachusetts

NPI Number1528745296
Practice location
152 Fenley St, Revere, MA 02151-2341
Fax
—
Last updated
July 3, 2023

Susan Nderitu is a Nurse Practitioner, Psych/Mental Health based in Revere, MA. Susan Nderitu practices in Revere, MA. The NPI Number for Susan Nderitu is 1528745296 and holds a License No. 2023035148 (MA). The current practice location address for Susan Nderitu is 152 Fenley St, Revere, MA 02151-2341 and can be reached out via phone at 978-328-8637.

Provider Profile Details

NPI Number
1528745296
Provider Name
Susan Nderitu
Provider Entity Type
Individual
Gender
Female
Address
152 Fenley St, Revere, MA 02151-2341
Phone Number
978-328-8637
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
July 3, 2023
Last Update Date
July 3, 2023
Certification Date
July 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
152 Fenley St
Revere, MA 02151-2341
City
Revere
Zip
02151-2341
Phone Number
978-328-8637
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
152 Fenley St
Revere, MA 02151-2341
City
Revere
State
MA
Zip
02151-2341
Phone Number
978-328-8637

License Information

License Number
2023035148
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Susan Nderitu?

The NPI number of Susan Nderitu is 1528745296. It was assigned on July 3, 2023 and is currently active in the NPPES registry.

What is the specialty of Susan Nderitu?

Susan Nderitu is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number 2023035148.

Where does Susan Nderitu practice?

The practice location is 152 Fenley St, Revere, MA 02151-2341. The office can be reached at 978-328-8637 (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 1528745296 directly on the NPPES registry website.

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