Susan Ryan Palmer

Individual provider Active NPI Ambulatory Care Registered Nurse · Boylston, MA

NPI 1932789179 · NPPES record last updated Apr 12, 2021

Key facts

NPI
1932789179
Entity type
Individual (NPI type 1)
Primary specialty
Ambulatory Care Registered Nurse 163WP2201X
License
156220RN (MA)
Practice address
11 Columbus Rd
Boylston, MA 01505-1429
Phone
(508) 735-3154
NPI assigned
Apr 12, 2021
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
156220RNMAMDAmbulatory Care Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 156220RN MA Yes

Addresses

Primary practice location

11 Columbus Rd
Boylston, MA 01505-1429

Mailing address

11 Columbus Rd
Boylston, MA 01505-1429
Phone (508) 735-3154

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address susan_palmer@kennedychc.org

Other providers in Boylston, MA

All providers in Boylston, MA · Ambulatory Care Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.