Individual provider · Type 1 NPI

Susan Ellen Gaughan, NP

Nurse Practitioner · Centerville, MA

NPI number 1710990148 Active

Practice location

87 Liam Lane
Centerville, MA 02632-3354

Fax (508) 420-8204

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X94922 (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 1710990148

Susan Ellen Gaughan, NP's National Provider Identifier is 1710990148, issued on Aug 15, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Centerville, MA. The record was last updated on Jul 9, 2007.