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MATTHEW C MIFFITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN

Contact information

Practice address
875 ROOSEVELT HWY STE 220, COLCHESTER, VT 05446-4460
(802) 242-1262
Mailing address
875 ROOSEVELT HWY STE 220, COLCHESTER, VT 05446-4460
(802) 242-1262

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
101-0070819
VT
363LA2200X
Adult Health Nurse Practitioner
Primary
101-0070819
VT

Other

Enumeration date
09/22/2010
Last updated
08/09/2022
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