Provider Demographics
NPI:1538192174
Name:BARAN, SUZANNE BUSH (APRN, BC)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:BUSH
Last Name:BARAN
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VT
Mailing Address - Zip Code:05457-0039
Mailing Address - Country:US
Mailing Address - Phone:802-847-2262
Mailing Address - Fax:802-847-0574
Practice Address - Street 1:111 COLCHESTER AVE
Practice Address - Street 2:MAIN PAVILION-LEVEL 2 BCC-SO
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-2262
Practice Address - Fax:802-847-0574
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101-00099792086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology