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Individual

MARISSA JANE PATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
14 N MAIN ST, STE 4002, BARRE, VT 05641-4197
(802) 479-2546
(802) 479-1346
Mailing address
PO BOX 547, ATT: CMVC FINANCE DEPT, BARRE, VT 05641-0547
(802) 479-2546
(802) 479-1346

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
101.0116285
VT
363LG0600X
Gerontology Nurse Practitioner
101.0116285
VT

Other

Enumeration date
02/23/2014
Last updated
10/29/2015
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