Susan C Dedominicis, MSN, NP-C
Nurse Practitioner, Family in Swampscott, Massachusetts
1891154712- Practice location
- 990 Paradise Road, Swampscott, MA 01907
- Phone
- 781-595-0151
- Fax
- 781-592-6780
- Last updated
- December 16, 2021
Susan C Dedominicis is a Nurse Practitioner, Family based in Swampscott, MA. Susan C Dedominicis practices in Swampscott, MA and has the professional credentials of MSN, NP-C. The NPI Number for Susan C Dedominicis is 1891154712 and holds a License No. RN2290806 (MA). The current practice location address for Susan C Dedominicis is 990 Paradise Road, Swampscott, MA 01907 and can be reached out via phone at 781-595-0151 and via fax at 781-592-6780.
Provider Profile Details
- NPI Number
- 1891154712
- Provider Name
- Susan C Dedominicis
- Credential
- MSN, NP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 990 Paradise Road, Swampscott, MA 01907
- Phone Number
- 781-595-0151
- Fax Number
- 781-592-6780
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 19, 2016
- Last Update Date
- December 16, 2021
- Certification Date
- December 16, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 990 Paradise Road
Swampscott, MA 01907 - City
- Swampscott
- State
- Massachusetts
- Zip
- 01907
- Phone Number
- 781-595-0151
- Fax Number
- 781-592-6780
Provider Business Mailing Address Details
- Address
- 990 Paradise Road
Swampscott, MA 01907 - City
- Swampscott
- State
- MA
- Zip
- 01907
- Phone Number
- 781-595-0151
- Fax Number
- 781-592-6780
License Information
- License Number
- RN2290806
- License State
- MA
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Swampscott, MA
View all Nurse Practitioner, Family providers in Swampscott →Frequently Asked Questions
What is the NPI number of Susan C Dedominicis, MSN, NP-C?
The NPI number of Susan C Dedominicis, MSN, NP-C is 1891154712. It was assigned on February 19, 2016 and is currently active in the NPPES registry.
What is the specialty of Susan C Dedominicis, MSN, NP-C?
Susan C Dedominicis, MSN, NP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2290806.
Where does Susan C Dedominicis, MSN, NP-C practice?
The practice location is 990 Paradise Road, Swampscott, MA 01907. The office can be reached at 781-595-0151 (phone) or 781-592-6780 (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 1891154712 directly on the NPPES registry website.