Individual provider · Type 1 NPI

Marise L. Sugarman, NP

Pediatric Nurse Practitioner · Braintree, MA

NPI number 1174591176 Active

Practice location

111 Grossman Dr
Braintree, MA 02184-4997

Mailing address

147 Milk St, Provider Enrollment - 9th Floor
Boston, MA 02109-4806

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X123290 (MA)
Pediatric Nurse Practitioner Primary 363LP0200X123290 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1174591176

Marise L. Sugarman, NP's National Provider Identifier is 1174591176, issued on Mar 8, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Braintree, MA. The record was last updated on Jan 10, 2014.