Most Relevant Information
Provider Data
| NPI Number: | 1003215138 |
| Provider Name: | SUSAN RAYMOND MARCOULIER AGPCNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | RN205674 |
Most Important Dates
| Enumeration Date: | 08/14/2014 |
| Last Updated: | 08/14/2014 |
Provider Practice Location
87 N MAIN ST
LEOMINSTER
MA
014535507
Practice Location Phone/Fax
| Phone: | 9785348701 |
| Fax: |
Provider Mailing Location
16 COLE RD
STERLING
MA
015642237
Provider Mailing Phone/Fax
| Phone: | 9787904207 |
| Fax: |