West, Susanna Bean
West, Susanna Bean is an sole proprietor health care provider with primary practice located at 320 River Park Dr Ste 125 , Provo UT 84604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. West, Susanna Bean can be contacted via phone (801) 437-4500.Contact Information
Primary practice address
320 River Park Dr Ste 125
Provo UT 84604
Phone: (801) 437-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 609788 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 10652098-8901 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | CRNA000363 | Nevada |
Profile Details
| NPI number | 1750368718 |
|---|---|
| LBN Legal business name | West, Susanna Bean |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Aug 31st, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750368718 | NPPES |
| Texas | MEDICAID | 164811502 | |
| Texas | MEDICAID | 1750368718 |
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