SUSAN K SPANG NP - NPI 1548313620 - Nurse Practitioner in Medford, MA

Q: What is Susan Spang's NPI number?

The NPI number for Susan Spang is 1548313620. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Q: What is Susan Spang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Spang was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Susan K Spang Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN K SPANG NP (NPI 1548313620) is an individual nurse practitioner in Medford, Massachusetts, licensed in Massachusetts (139116) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1548313620

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUSAN K SPANGCredential: NP

Location Address26 CITY HALL MALLMedford, MA 02155-4754

Mailing Address147 Milk StBoston, MA 02109-4806 · (617) 421-2508

Phone(781) 306-5100

Sole ProprietorNo

Enumeration DateJanuary 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1548313620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MA · 139116

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

26 CITY HALL MALL, Medford, MA 02155

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Other Identifiers 5

OtherNP1384MA · Bcbs

Medicare ID-Type UnspecifiedNP1384MA

Medicaid0359050MA

OtherN469MA · Hphc

Medicare UPINS63967MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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