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Individual

NANCY RYAN FOOTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
331 UPPER PLAIN SUITE 1, UPPER PLAIN, BRADFORD, VT 05033
(802) 222-4722
(802) 222-4709
Mailing address
BOX 116, HARTLAND, VT 05048
(802) 436-2605

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
101001449
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007934
VT
05
30005705
NH
Enumeration date
10/16/2006
Last updated
10/13/2011
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