Provider Demographics
NPI:1619639515
Name:SINGSON, SUZANNE TAYLOR (RN)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:TAYLOR
Last Name:SINGSON
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 1:18 DRIFTWAY ST
Mailing Address - Street 2:
Mailing Address - City:HOPEDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01747-1004
Mailing Address - Country:US
Mailing Address - Phone:847-347-8015
Mailing Address - Fax:
Practice Address - Street 1:0 PROFILE CIR
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1716
Practice Address - Country:US
Practice Address - Phone:603-236-7693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH086076-21163WG0000X
MARN2352892163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice