Angela Suzanne Boisseau, NNP/BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN228301 Issued in MA

Practice address

3 Brussels St Ste 302
Worcester, MA 01610-3697

Phone

(508) 735-7071

Fax

(774) 389-1696

NPI assigned

Jan 6, 2009

Last updated

Apr 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Connecticut Medical Professionals Foundation Inc

  dba Eastern CT Medical Professionals

  • Family Medicine Physician
  • Manchester, CT
  • NPI 1770557712

  Nurse Practitioner

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1295971737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 AMHERST DR",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012167",
            "telephone_number": "508-735-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRUSSELS ST STE 302",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016103697",
            "telephone_number": "508-735-7071",
            "fax_number": "774-389-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISSEAU",
        "first_name": "ANGELA",
        "middle_name": "SUZANNE",
        "credential": "NNP/BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN228301",
            "primary": true
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "CT",
            "license": "004002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bogoian
• Anna Bogursky
• Stephanie Raymond Bohler
• Rhea Bohra
• Gwendolyn Bois
• Chantel Boisvert
• Felicitie Boisvert, CLINICIAN
• Rebecca Boisvert
• Janet Marie Boivin
• Robert M. Bojar, M.D.

• Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.