Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN PRISCILLA LAX, APRN, BC
Active Sole ProprietorPsychiatric/Mental Health Nurse Practitioner · STOWE, VT
Registration Details
- NPI Number
- 1245453398
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2007 (19.065125684209 yrs)
- Last Updated
- Aug 12, 2021
- Licenses
-
026.0135023 (VT)255146 (MA)101.0134152 (VT)RN255146 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
782 MOUNTAIN RD STE DSTOWE, VT, 056724629Browse VT providers · Browse ZIP 05672
- Phone
- 6173725784
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Substance Abuse Psychiatric Nurse
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.