Individual
MRS. HEATHER STAUDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
38 WHIPPLE RD, SOUTH HERO, VT 05486-4900
(802) 372-4020
Mailing address
464 IRISH SETTLEMENT RD, UNDERHILL, VT 05489-9777
(802) 899-4832
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0250007829
VT
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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