Sueann Coughlin, LPN

Individual provider Active NPI Licensed Practical Nurse · Shirley, MA

NPI 1669599445 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1669599445
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
31232 (MA)
Practice address
5 Hill LN
Shirley, MA 01464-2627
Phone
(978) 425-9163
NPI assigned
Mar 25, 2007
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

State licenses

LicenseStateTypeSpecialty
31232MAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 31232 MA Yes

Addresses

Primary practice location

5 Hill LN
Shirley, MA 01464-2627

Mailing address

201 Glenallen St # a
Winchendon, MA 01475-2239
Phone (978) 297-2617

Other providers in Shirley, MA

All providers in Shirley, MA · Licensed Practical Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.