Individual
SUZANNE MAY WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
441 WEST RIVER ROAD, SUITE 1N, BRATTLEBORO, VT 05301-9088
(802) 258-7794
(802) 258-7794
Mailing address
PO BOX 795, BRATTLEBORO, VT 05302-0795
(802) 258-7794
(802) 258-9702
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
072-0000344
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026040
MEDICARE PTAN
—
05
—
1017691
—
VT
Enumeration date
04/01/2010
Last updated
10/12/2012
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