Susan Nderitu, | |
152 Fenley St, Revere, MA 02151-2341 | |
(978) 328-8637 | |
Not Available |
Full Name | Susan Nderitu |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 152 Fenley St, Revere, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528745296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2023035148 (Massachusetts) | Primary |
Entity Name | Supportive Behavioral Care Of Ma Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877 |
Mailing Address | Practice Location Address |
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Susan Nderitu, 152 Fenley St, Revere, MA 02151-2341 Ph: (978) 328-8637 | Susan Nderitu, 152 Fenley St, Revere, MA 02151-2341 Ph: (978) 328-8637 |
Ms. Emily J Wilcox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6000 | |
Emily Caruso Macintyre, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6024 | |
Frew Fikru, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 529 Washington Ave Apt 2, Revere, MA 02151 Phone: 617-230-0979 | |
Mrs. Marianne Connelly, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 Broadway Ste 4, Revere, MA 02151 Phone: 781-485-1000 Fax: 781-286-5418 | |
Ms. Janet Lynn Mozes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Broadway, Revere, MA 02151 Phone: 781-485-6429 Fax: 781-286-5418 | |
Ms. Michele Theresa Mchugh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6000 Fax: 781-485-6405 | |
Vitor Cardoso, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47 Florence Ave, Revere, MA 02151 Phone: 617-416-7087 |