Individual
MS. SALLY KATHRYN MATHIESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4 SLAPP HL, HARDWICK, VT 05843-9300
(802) 472-3300
(802) 472-8277
Mailing address
165 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-9405
(802) 748-4540
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1010063655
VT
Other
Enumeration date
09/03/2010
Last updated
10/10/2023
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