| NPI | 1497645006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH MARIE ANDING Pediatric Nurse Practitioner 802-558-1406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |