Individual
ELIZABETH K NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, FAHC, BURLINGTON, VT 05401
(802) 847-3333
(802) 847-1424
Mailing address
111 COLCHESTER AVE, FAHC, BURLINGTON, VT 05401
(802) 847-3333
(802) 847-1424
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420012625
VT
2084P0800X
Psychiatry Physician
217206
NY
Other
Enumeration date
12/12/2006
Last updated
04/04/2022
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