Individual
DUSTIN RAY MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
198 N MAIN ST STE C-3, RUTLAND, VT 05701-3020
(802) 770-1814
(802) 636-6285
Mailing address
303 MARKET ST UNIT 112, SOUTH BURLINGTON, VT 05403-6671
(603) 266-8071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0136925
VT
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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