Lattanzi, Susan Y

Lattanzi, Susan Y is an individual health care provider with primary practice located at 300 Stafford Street Suites 101, 154 & 161, Springfield MA 01104-2431. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Lattanzi, Susan Y can be contacted via phone (413) 732-1928.

Contact Information

Primary practice address
300 Stafford Street Suites 101, 154 & 161 Springfield MA 01104-2431
Fax: (413) 734-1716
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 168570 Massachusetts

Profile Details

NPI number 1093963175
LBN Legal business name Lattanzi, Susan Y
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Jun 23rd, 2021 - about 3 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 1093963175 NPPES
Massachusetts MEDICAID 110087924A

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