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Organization
SHELBURNE MIND BODY MEDICINE LLC
Active
Organization
SHELBURNE MIND BODY MEDICINE LLC
Active
Other names
Shelburne Mind Body Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY NORA FAIBISH NP (CLINICAL DIRECTOR)
(802) 448-4408
Entity
Organization
Contact information
Practice address
161 FERRY RD, CHARLOTTE, VT 05445-9901
(802) 448-4408
(802) 341-6595
Mailing address
PO BOX 42, CHARLOTTE, VT 05445-0042
(802) 448-4408
(802) 341-6595
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
04/02/2025
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