Thievon, Susan Lea

Thievon, Susan Lea is an individual health care provider with primary practice located at 1823 Vt Rte 107 , Bethel VT 05032-9324. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Thievon, Susan Lea can be contacted via phone (802) 234-9913.

Contact Information

Primary practice address
1823 Vt Rte 107 Bethel VT 05032-9324
Phone: (802) 234-9913
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 049495-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0494952303 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 101.0134836 Vermont

Profile Details

NPI number 1396847075
LBN Legal business name Thievon, Susan Lea
Credentials M.S., APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Oct 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396847075 NPPES
New Hampshire MEDICAID 3079327
New Hampshire MEDICAID 30341753

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