Individual
JAMES TAUTFEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
101-0017968
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010580
—
VT
01
—
18466
BLUE CROSS PROVIDER #
VT
Enumeration date
03/07/2007
Last updated
06/15/2015
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