Individual
MS. DEBORAH VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
859 OLD COUNTY RD, WAITSFIELD, VT 05673-6221
(802) 496-3838
(802) 496-5586
Mailing address
PO BOX 547, CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT, BARRE, VT 05641-0547
(802) 496-3838
(802) 496-5586
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101-0016055
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014934
—
VT
Enumeration date
08/25/2006
Last updated
12/09/2013
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