Individual
VICTORIA BRUYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
855 SOUTH BARRE RD, SOUTH BARRE, VT 05670
(802) 301-3001
Mailing address
31 RIVER RD, NORTH CHITTENDEN, VT 05763-9657
(719) 650-5412
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101.0135479
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN.0999843-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000236286
—
CO
Enumeration date
07/12/2022
Last updated
03/15/2025
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