Organization
SUZANNE CARLISLE STEBENNE
Active
Other names
Ideal Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE CARLISLE STEBENNE APRN FNP-BC (FAMILY NURSE PRACTITIONER)
(202) 394-9166
Entity
Organization
Contact information
Practice address
212 HOLIDAY DR STE 4, WHITE RIVER JUNCTION, VT 05001-2044
(202) 394-9166
Mailing address
468 ROUTE 12, HARTLAND, VT 05048-8109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0110101
VT
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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