Individual provider · Type 1 NPI

Susan Elizabeth Mullaney, NP

Gerontology Nurse Practitioner · Waltham, MA

NPI number 1114081247 Active

Practice location

950 Winter St, Suite 3800
Waltham, MA 02451-1424

Call (781) 472-8503 Map

Fax (781) 472-8801

Mailing address

169 Hunnewell St
Needham, MA 02494-1421

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X189423 (MA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1114081247

Susan Elizabeth Mullaney, NP's National Provider Identifier is 1114081247, issued on Dec 21, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Waltham, MA. The record was last updated on Jul 8, 2007.