Susan Marie Coleman, R.N.

Individual provider Active NPI Registered Nurse · South Weymouth, MA

NPI 1144584491 · NPPES record last updated Jul 2, 2012

Key facts

NPI
1144584491
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN191227 (MA)
Practice address
109 Ralston Rd
South Weymouth, MA 02190-2649
Phone
(781) 340-1567
Fax
(866) 258-3144
NPI assigned
Jul 2, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN191227MAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN191227 MA Yes

Addresses

Primary practice location

109 Ralston Rd
South Weymouth, MA 02190-2649

Mailing address

109 Ralston Rd
South Weymouth, MA 02190-2649
Phone (781) 340-1567

Other providers in South Weymouth, MA

All providers in South Weymouth, MA · Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.