Suzane Barbara Bazner, MSN, ANP
Individual provider Active NPI Adult Health Nurse Practitioner · Boston, MA
NPI 1780870337 · NPPES record last updated Sep 18, 2007
Key facts
- NPI
- 1780870337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 195852 (MA)
- Practice address
- 55 Fruit St
Cox 626
Boston, MA 02114-2621 - Phone
- (617) 724-0070
- Fax
- (617) 643-2899
- NPI assigned
- Sep 18, 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)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195852 | MA | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 195852 | MA | Yes |
Addresses
Primary practice location
55 Fruit St
Cox 626
Boston, MA 02114-2621
Mailing address
55 Fruit St
Cox 626
Boston, MA 02114-2621
Phone (617) 724-0070
Other providers in Boston, MA
- Fateh Bazerbachi
- Krinjeela Bazgain
- Nathalie Bazil
- Tanesha Valerie Bazile
- Judith Bazinet
- Veronika Maria Bazzinotti
- BCH Dental Group
- BD & L Provider LLC
- Be Livery Services Corp
- Be Well Behavioral Health, LLC
All providers in Boston, MA · Adult Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.