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Individual
HEATHER L BARIBAULT
Active
Individual
HEATHER L BARIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F381432
NY
363LP0200X
Pediatric Nurse Practitioner
101.0128978
VT
363LP0200X
Pediatric Nurse Practitioner
Primary
381432
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031644
—
VT
Enumeration date
10/30/2006
Last updated
04/20/2022
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