NPI | 1851712657 |
---|---|
Entity Type | Organization |
Authorized Contact | CRISTIN ALEXANDRIA CRAFT Ap RN 802-775-7798 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VT 101.0100410) |
Enumeration Date | 2013-12-20 |
Last Update Date | 2013-12-20 |