Individual
NICOLE MARIE CLOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401
(802) 847-2370
Mailing address
393 CHURCH RD, COLCHESTER, VT 05401
(413) 433-2271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0089278
VT
363LN0000X
Neonatal Nurse Practitioner
Primary
101.0134384
VT
Other
Enumeration date
08/01/2019
Last updated
08/11/2019
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