Provider Demographics
NPI:1235598228
Name:SOOD, RICHA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:RICHA
Middle Name:
Last Name:SOOD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:RICHA
Other - Middle Name:
Other - Last Name:SOOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:37 IRETA RD
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-1714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:246 MAPLE ST
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3235
Practice Address - Country:US
Practice Address - Phone:508-460-3872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2292208363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily