MS. SUSAN CAROL WILLSON-GOUCHER RN NP NPI 1912120270

NPI Information

  • NPI: 1912120270
  • Provider Name: MS. SUSAN CAROL WILLSON-GOUCHER, RN, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 850 HARRISON AVE
    YACC 4
    BOSTON, MA
    ZIP 02118
  • Phone: (617) 414-2080

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NPI Details

MS. Susan Carol Willson-goucher, RN, NP is an adult health nurse practitioner in Boston, MA. MS. Susan Carol Willson-goucher, RN, NP NPI is 1912120270. 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:

850 HARRISON AVE
YACC 4
BOSTON, MA
ZIP 02118-001
Phone: (617) 414-2080
Fax: (617) 414-2090

The enumeration date for this NPI number is 4/11/2007 and was last updated on 5/6/2014.

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
1363LA2200XNurse PractitionerAdult HealthRN141147MASSACHUSETTSYes

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
1001988601MEDICARE PINMASSACHUSETTS
2110087703AMEDICAIDMASSACHUSETTS

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: 11/21/2025

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