Provider Demographics
NPI:1538398839
Name:SPOONER-TURNER, SUSAN ELLEN (RN)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:ELLEN
Last Name:SPOONER-TURNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 BURRILL ST
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-1913
Mailing Address - Country:US
Mailing Address - Phone:781-599-7071
Mailing Address - Fax:
Practice Address - Street 1:75 BURRILL ST
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-1913
Practice Address - Country:US
Practice Address - Phone:781-599-7071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156978163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse