Susan Ellen Gaughan, NP | |
87 Liam Lane, Centerville, MA 02632-3354 | |
(508) 420-9726 | |
(508) 420-8204 |
Full Name | Susan Ellen Gaughan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 87 Liam Lane, Centerville, Massachusetts |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710990148 | NPI | - | NPPES |
0378241 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 94922 (Massachusetts) | Primary |
Mailing Address | Practice Location Address |
---|---|
Susan Ellen Gaughan, NP 87 Liam Lane, Centerville, MA 02632-3354 Ph: (508) 420-9726 | Susan Ellen Gaughan, NP 87 Liam Lane, Centerville, MA 02632-3354 Ph: (508) 420-9726 |
Mrs. Mary A Hodgerney, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Johnny Cake Rd, Centerville, MA 02632 Phone: 774-262-3337 | |
Christine A Wilcox, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1185 Falmouth Rd, Centerville, MA 02632 Phone: 508-540-6550 Fax: 508-862-2710 |