Individual
MRS. STACEY K WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
325 NORTH ST, BENNINGTON, VT 05201-1858
(802) 447-6913
Mailing address
373 PICKERING ROAD, ARLINGTON, VT 05250
(802) 375-9252
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
101-0025805
VT
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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