Individual provider · Type 1 NPI

Sudeep GC

Psychiatric/Mental Health Nurse Practitioner · Brockton, MA

NPI number 1740082007 Active

Practice location

940 Belmont St Bldg 2
Brockton, MA 02301-5596

Mailing address

133 Taylor St
Malden, MA 02148-8021

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2278501 (MA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1740082007

Sudeep GC's National Provider Identifier is 1740082007, issued on Mar 26, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brockton, MA. The record was last updated on Mar 26, 2025.