Individual ProviderSuzanne Elizabeth TannerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address617 Riverside Ave, Burlington, VT 05401-1601(802) 864-6309PECOS EnrollmentBased on the most recent information from CMS, provider Suzanne Elizabeth Tanner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1245379353Provider TypeIndividualFull NameTanner, Suzanne ElizabethGenderFemaleSole ProprietorNoEnumeration Date2/5/2007Last Updated9/30/2009Contact InformationPractice LocationPractice Address617 Riverside Ave, Burlington, VT 05401-1601Phone(802) 864-6309Fax(802) 860-4324Mailing LocationMailing Address617 Riverside Ave, Burlington, VT 05401-1601Phone(802) 864-6309Fax(802) 860-4324Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0890051194VermontCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLCS23430California