Individual
SUSAN G TANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
201 EAST MAIN STREET, CONCORD, VT 05824-0355
(802) 695-2512
(802) 695-1303
Mailing address
165 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-9405
(802) 748-4540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101-0020784
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0NP0518
—
VT
Enumeration date
04/21/2006
Last updated
09/28/2010
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