| NPI | 1609203256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN EUGAIR Owner 802-770-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VT 101.0021584) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: VT 101.0085387) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2022-09-16 |