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Individual
ELISA BRETTLER VANDERVORT
Active
Individual
ELISA BRETTLER VANDERVORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, CNM
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
101-0026277
VT
367A00000X
Advanced Practice Midwife
Primary
101-0026277
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0NP4077
—
VT
Enumeration date
12/16/2005
Last updated
10/23/2025
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