Colella, Susan Tina

Colella, Susan Tina is an individual health care provider with primary practice located at 2 Corporation Way Ste 180 , Peabody MA 01960-7996. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Colella, Susan Tina can be contacted via phone (978) 573-4300.

Contact Information

Primary practice address
2 Corporation Way Ste 180 Peabody MA 01960-7996
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN279573 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN279573 Massachusetts

Profile Details

NPI number 1144736182
LBN Legal business name Colella, Susan Tina
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2017
Last updated Apr 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144736182 NPPES
Massachusetts MEDICAID 1306161443

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