Individual
TIMOTHY GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
163 VETERANS DR, WHITE RIVER JUNCTION, VT 05009-0001
(802) 296-5159
(802) 296-6368
Mailing address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
026.0051651
VT
163W00000X
Registered Nurse
079328-21
NH
163W00000X
Registered Nurse
763488-1
NY
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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