Individual
MICHELLE MAE MORTIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
130 DUKE ROAD, WILLIAMSVILLE, VT 05362
(802) 579-5138
Mailing address
PO BOX 130, WILLIAMSVILLE, VT 05362-0130
(802) 579-5138
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
026.0025732
VT
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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