Individual
ELIZA W ANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
225 S MAIN ST, BARRE, VT 05641-4881
(802) 479-3302
(802) 225-5720
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPARTMENT, BARRE, VT 05641-0547
(802) 479-3302
(802) 225-5720
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101.0109654
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024467
—
VT
Enumeration date
01/15/2015
Last updated
07/21/2015
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