| NPI | 1023829876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TODD DAYTON Owner/ Office Manager 802-683-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-03-06 |