Individual
SAMANTHA NADEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05301
(802) 257-7787
Mailing address
PO BOX 803, ANNA MARSH LANE, BRATTLEBORO, VT 05301
(802) 257-7787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0031223
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0474001
—
VT
Enumeration date
09/15/2014
Last updated
09/15/2014
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