Provider Demographics
NPI:1164110813
Name:SKARSTEN, SUZANNE ELIZABETH (FNP-C)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:ELIZABETH
Last Name:SKARSTEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2293 FAYBROOK RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:VT
Mailing Address - Zip Code:05065-6551
Mailing Address - Country:US
Mailing Address - Phone:802-380-2490
Mailing Address - Fax:
Practice Address - Street 1:331 OLCOTT DR STE U3
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-9263
Practice Address - Country:US
Practice Address - Phone:802-380-2490
Practice Address - Fax:802-295-1358
Is Sole Proprietor?:No
Enumeration Date:2023-04-28
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH063564-21163W00000X
VT101.0137984363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse