Individual
SARAH A. ELLISON DIETSCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
183 SAINT PAUL ST, BURLINGTON, VT 05401-4636
(802) 863-6326
Mailing address
22 CUMBERLAND RD, BURLINGTON, VT 05408-2465
(415) 350-1542
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1010092009
VT
Other
Enumeration date
03/07/2013
Last updated
04/24/2013
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