Individual
KATIE L JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
225 SOUTH MAIN STREET, BARRE INTERNAL MEDICINE, BARRE, VT 05641
(802) 479-3302
Mailing address
PO BOX 547, BARRE, VT 05641-0547
(802) 371-4100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0069151
VT
Other
Enumeration date
05/19/2010
Last updated
12/27/2011
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