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NPI Code Detail

MEDICARE: MS. SUZANNE BUSH BARAN APRN, BC

MEDICARE: MS. SUZANNE BUSH BARAN APRN, BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086X0206XSurgical Oncology Physician101-0009979VT

General Provider Information

NPI Number : 1538192174
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUZANNE BUSH BARAN APRN, BC
Provider Business Mailing Address
First Line : PO BOX 39
Second Line :
City : FRANKLIN
State : VT
Zip : 05457-0039
Country : US
Telephone Number : 802-847-2262
Fax Number : 802-847-0574
Provider Business Practice Location Address
First Line : 111 COLCHESTER AVE
Second Line : MAIN PAVILION-LEVEL 2 BCC-SO
City : BURLINGTON
State : VT
Zip : 05401-1473
Country : US
Telephone Number : 802-847-2262
Fax Number : 802-847-0574
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2006
Last Update Date : 07/08/2007

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