Susan Jo Roberts
Nurse Practitioner Nurse Practitioner - Adult Health
230 Worcester St
Wellesley
, Massachusetts 02481-5420
Susan Jo Roberts
Nurse Practitioner Nurse Practitioner - Adult Health
230 Worcester St
Wellesley
, Massachusetts 02481-5420
(617) 421-3487
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Susan Jo Roberts
- 147 Milk St Provider Enrollment - 9th Floor
- Boston, MA
- Zip : 02109-4806
- Fax : (617) 421-3487
- Phone : (617) 559-8053
Second Address
- Susan Jo Roberts
- 230 Worcester St
- Wellesley, MA
- Zip : 02481-5420
- Fax : (781) 431-5298
- Phone : (781) 431-5200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 144327 | MA |
| N | 363LA2200X | Nurse Practitioner - Adult Health | 144327 | MA |
National Provider Identifier
| NPI | 1033170758 |
|---|---|
| Provider Name | Susan Jo Roberts |
| First Address | Boston, MA 02109-4806 |
| Second Address | Wellesley, MA 02481-5420 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0360180 | (05) | MA |
| N406 | HARVARD PILGRIM (01) | MA |
| NP2216 | BLUECROSS (01) | MA |
| S99726 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.