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
Phone: (978) 573-4300
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144736182 | NPPES |
Massachusetts | MEDICAID | 1306161443 |
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