Provider Demographics
NPI:1588552913
Name:TRAVERS, SUSAN E (RN)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:E
Last Name:TRAVERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 VALLEY VIEW TER
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-1330
Mailing Address - Country:US
Mailing Address - Phone:508-838-4539
Mailing Address - Fax:508-838-4539
Practice Address - Street 1:22 VALLEY VIEW TER
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-1330
Practice Address - Country:US
Practice Address - Phone:508-699-5203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN235933163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice