Susan Ellen Gaughan
NP | Nurse Practitioner
87 Liam Lane, Centerville
Massachusetts, 02632-3354
508-420-9726
Susan Ellen Gaughan is a Centerville, Massachusetts based nurse practitioner. Active license number of Susan Ellen Gaughan is 94922 in Massachusetts. Her current practice location is 87 Liam Lane, Centerville. Patients can reach her at 508-420-9726 or can fax her at 508-420-8204. Susan Ellen Gaughan is NP and her NPI number (Unique professional ID assigned by NPPES) is 1710990148.
Susan Ellen Gaughan has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Susan Ellen Gaughan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Susan Ellen Gaughan |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 87 Liam Lane, Centerville,
Massachusetts, 02632-3354 |
| Phone: | 508-420-9726 |
| Fax: | 508-420-8204 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1710990148 |
| NPI Enumeration Date: | 15 Aug, 2006 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan Ellen Gaughan are as mentioned below.
| License Number | Specialization | State | Status | |
| 94922 | | Massachusetts | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Susan Ellen Gaughan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0378241 | Medicaid | Massachusetts | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Susan Ellen Gaughan
87 Liam Lane,
Centerville, Massachusetts |
| Zip: | 02632-3354 |
| Phone Number: | 508-420-9726 |
| Fax Number: | 508-420-8204 |
Patients can reach Susan Ellen Gaughan at
87 Liam Lane, Centerville, Massachusetts or can
call to book an appointment on 508-420-9726.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.