Provider Demographics
NPI:1982132593
Name:TEIXEIRA, SUNCIARAY CAROLINE (NP)
Entity Type:Individual
Prefix:
First Name:SUNCIARAY
Middle Name:CAROLINE
Last Name:TEIXEIRA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SUNCIARAY
Other - Middle Name:CAROLINE
Other - Last Name:RIBEIRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18 STERLING ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-1611
Mailing Address - Country:US
Mailing Address - Phone:617-308-2883
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN282832363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily