Individual
SUSAN GAIL COHEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
209 WASHINGTON AVE, BENNINGTON, VT 05201-2312
(802) 442-0158
(802) 442-0160
Mailing address
209 WASHINGTON AVE, BENNINGTON, VT 05201-2312
(802) 442-0158
(802) 442-0160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1010021887
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029207
BC/BS
VT
05
—
0NP2167
—
VT
01
—
10002929
CDPHP
—
01
—
319096
MVP
—
Enumeration date
07/28/2005
Last updated
07/08/2007
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