Provider Demographics
NPI:1285669127
Name:PLANTE, SUSAN K (APRN)
Entity Type:Individual
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First Name:SUSAN
Middle Name:K
Last Name:PLANTE
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:115 MAIN ST
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1468
Mailing Address - Country:US
Mailing Address - Phone:508-238-7766
Mailing Address - Fax:508-230-5089
Practice Address - Street 1:115 MAIN ST
Practice Address - Street 2:SUITE 2D
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1443
Practice Address - Country:US
Practice Address - Phone:508-238-7766
Practice Address - Fax:508-230-5089
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2010-10-19
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Provider Licenses
StateLicense IDTaxonomies
MA145823364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI30066-1OtherBC BS OF RHODE ISLAND
MAPN0714OtherBC BS OF MA
MA145823OtherTUFTS HEALTH PLAN
MACP0091OtherBC BS CARE 65
MA145823OtherTUFTS HEALTH PLAN
MAPN0714OtherBC BS OF MA