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Ms. Susan Lea Thievon, MS,APRN
Family Nurse Practitioner in Randolph, Vermont
NPI 1396847075

Susan Lea Thievon is a Family Nurse Practitioner based in Randolph, VT and is specialized in Family. Susan Lea Thievon practices in Randolph, VT and has the professional credentials of MS,APRN. The NPI Number for Susan Lea Thievon is 1396847075 and holds a License No. 049495-23 (Vermont).

The current practice location address for Susan Lea Thievon is 1422 Route 66, Randolph, VT and can be reached out via phone at 802-728-7100.

Location: 1422 Route 66, Randolph, VT, 05060-7718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396847075
Provider Name
Susan Lea Thievon
Credential
MS,APRN
Provider Entity Type
Individual
Gender
Female
Address
1422 Route 66, Randolph, VT, 05060-7718
Phone Number
802-728-7100
Fax Number
Provider Enumeration Date
09/02/2006
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
3079327 05 NH
30341753 05 NH
institution
Provider Business Practice Location Address Details
Address
1422 Route 66
City
Randolph
State
Vermont
Zip
05060-7718
Phone Number
802-728-7100
Fax Number
person
Provider Business Mailing Address Details
Address
1422 Route 66
City
Randolph
State
Vermont
Zip
05060-7718
Phone Number
802-728-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0494952303 (New Hampshire)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
049495-23 (New Hampshire)
Definition
Definition to come...
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