Susan M Balducci, NP
Nurse Practitioner in Fitchburg, MA. Individual provider (NPI-1).
NPI number1700850864
StatusActive
Last updated in NPPESSep 19, 2011
Details
- NPI
- 1700850864
- Entity type
- Individual (NPI-1)
- Name
- Ms. Susan M Balducci
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2006
- Last updated
- Sep 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 124241 | MA | Yes |
Practice location
275 Nichols RdFitchburg, MA 01420-1931
Phone 978-343-5048
Mailing address
Po Box 415348Boston, MA 02241-5348
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