SUSANNA BEAN WEST

PROVO, UT
NPI1750368718
Former NameSUSANA BEAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NV  CRNA000363)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  609788)
367500000X Nurse Anesthetist, Certified Registered
(Licence: UT  10652098-8901)
Enumeration Date2005-12-29
Last Update Date2018-08-31
Business Address
Ms. SUSANNA BEAN WEST CRNA
320 RIVER PARK DR STE 125
PROVO, UT 84604
Phone number: 801-437-4500
Mailing Address
Ms. SUSANNA BEAN WEST CRNA
PO BOX 1060
SPRINGVILLE, UT 84663-7060
Phone number: 214-498-0233