Individual
JUDY A. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GENERAL WING RD, RUTLAND, VT 05701-4681
(802) 773-9131
(802) 775-6141
Mailing address
71 ALLEN ST, STE 403, RUTLAND, VT 05701-4570
(802) 855-2027
(802) 855-2053
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0420008063
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01177095
—
NY
05
—
1002916
—
VT
01
—
1345435-001
CIGNA
—
01
—
26156
MVP (MOHAWK VALLEY HP)
—
01
—
286234
CIGNA NH
NH
01
—
5457
VT BLUE CROSS BLUE SHIELD
VT
Enumeration date
03/14/2007
Last updated
06/01/2016
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