Individual provider · Type 1 NPI
Gerty E. Souffrant
Gerontology Nurse Practitioner · Stoughton, MA
NPI number
1790443364
Active
Practice location
50 Ripley Dr
Stoughton, MA 02072-3588
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN2258797 (MA) |
| Adult Health Nurse Practitioner | 363LA2200X | RN2258797 (MA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN2258797 (MA) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Stoughton
About NPI 1790443364
Gerty E. Souffrant's National Provider Identifier is 1790443364, issued on Dec 1, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Stoughton, MA. The record was last updated on Dec 9, 2021.