Sudeep Gc Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Brockton, MA

NPI

1740082007

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

2278501 (MA)

Sex

Male

Sole proprietor

No

Enumerated

2025-03-26

Last updated

2025-03-26