Provider Demographics
NPI:1215002001
Name:SAWYER, SUSAN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:
Last Name:SAWYER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-2166
Mailing Address - Country:US
Mailing Address - Phone:978-557-2300
Mailing Address - Fax:978-722-3099
Practice Address - Street 1:755 MAIN ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-2166
Practice Address - Country:US
Practice Address - Phone:978-557-2300
Practice Address - Fax:978-722-3099
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA146411363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics