Individual provider · Type 1 NPI

Susan Clare Shaddock, CNP

Nurse Practitioner · Worcester, MA

NPI number 1073036554 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Call (774) 443-7552 Map

Fax (774) 441-6086

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other practice locations

  • 119 Belmont St, Worcester, MA 01605-2903 · (774) 443-7552

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN2304241 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073036554

Susan Clare Shaddock, CNP's National Provider Identifier is 1073036554, issued on Jul 17, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Worcester, MA. The record was last updated on Oct 27, 2020.