SUSAN ANN MARCEAU RN MST FNP-BC NPI 1285690966

NPI Information

NPI: 1285690966
Provider Name: SUSAN ANN MARCEAU, RN, MST, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MINUTECLINIC DIAGNOSTIC OF RHODE ISLAND LLC

PECOS Registration: Yes

Address:
1 CVS DR
WOONSOCKET, RI
ZIP 02895
Phone: (866) 389-2727
Get Directions

Susan Ann Marceau, RN, MST, FNP-BC is a family nurse practitioner in Woonsocket, RI with 29 years of experience. Susan Ann Marceau, RN, MST, FNP-BC NPI is 1285690966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 CVS DR
WOONSOCKET, RI
ZIP 02895-146
Phone: (866) 389-2727

The NPI 1285690966 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/22/2006 and was last updated on 9/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN33712	RHODE ISLAND	No
2	363LF0000X	Nurse Practitioner	Family	NPP33712	RHODE ISLAND	No
3	363LF0000X	Nurse Practitioner	Family	194271	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP2036	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
2	M15639	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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