| NPI | 1578955761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE M VILLANI Nurse Practitioner 802-434-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0094572) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |