Provider Demographics
NPI:1518010255
Name:MCDERMOTT, SUSAN T (RN NP)
Entity Type:Individual
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First Name:SUSAN
Middle Name:T
Last Name:MCDERMOTT
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Gender:F
Credentials:RN NP
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Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:MASSACHUSETTS GENERAL HOSPITAL BIGELOW 8 RM 852A
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-726-6475
Mailing Address - Fax:617-724-0289
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:MASSACHUSETTS GENERAL HOSPITAL BIGELOW 8 RM 852A
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-6475
Practice Address - Fax:617-724-0289
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2017-03-09
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Provider Licenses
StateLicense IDTaxonomies
MA186828363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care