Individual
DEBORAH S WACHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
130 FISHER RD UNIT 1, BERLIN, VT 05602-9000
(802) 225-3980
(802) 371-4855
Mailing address
PO BOX 547, BARRE, VT 05641-0547
(802) 225-3980
(802) 371-4855
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
101-0014969
VT
363LW0102X
Women's Health Nurse Practitioner
101-0014969
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101-0014969
APRN LICENSE
VT
01
—
NP292601
MEDICARE PTAN LINKED TO VN3891
VT
05
—
ONP2926
—
VT
Enumeration date
11/10/2005
Last updated
03/07/2023
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