| NPI | 1346769668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI AMBER RAND Owner, Provider 802-772-7136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VT 101-0082934) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2018-01-25 |