Individual
ANNETTE ELISA PETRUCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1691 DAVIS RD, SOUTH ROYALTON, VT 05068-5056
(802) 238-8547
Mailing address
1691 DAVIS RD, SOUTH ROYALTON, VT 05068-5056
(802) 238-8547
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0260013641
VT
163WN1003X
Nutrition Support Registered Nurse
0260013641
VT
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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