| NPI | 1497389506 |
|---|---|
| Other Name | MHHCS AT TJ SAMSON |
| Entity Type | Organization |
| Authorized Contact | NANCY CARLSON President 802-857-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |