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Individual

MS. SUSANNA BEAN WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
320 RIVER PARK DR STE 125, PROVO, UT 84604
(801) 437-4500
Mailing address
PO BOX 1060, SPRINGVILLE, UT 84663-7060
(214) 498-0233

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
10652098-8901
UT
367500000X
Certified Registered Nurse Anesthetist
609788
TX
367500000X
Certified Registered Nurse Anesthetist
C.APN.0004131-C-CRNA
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000363
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164811502
TX
05
1750368718
NV
Enumeration date
12/29/2005
Last updated
12/11/2024
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