Individual
MRS. SUSAN F. DUMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT NURSE PRACTITI
Contact information
Practice address
92 ALLEN ST, RUTLAND, VT 05701-4562
(802) 773-7502
(802) 773-7022
Mailing address
92 ALLEN ST, RUTLAND, VT 05701-4562
(802) 773-7502
(802) 773-7022
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1010015655
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008529
—
VT
01
—
5501740
MVP
VT
01
—
NP509503
MEDICARE PTAN
VT
Enumeration date
03/30/2006
Last updated
05/17/2016
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