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Individual

STACEY D LARIVIERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
231 N MAIN ST, RUTLAND, VT 05701-2412
(802) 772-7992
Mailing address
71 ALLEN ST STE 101, RUTLAND, VT 05701-4570
(802) 779-9036

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
060577-23
NH

Other

Enumeration date
11/13/2025
Last updated
11/17/2025
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