Organization
VERMONT HOLISTIC HEALTH PLLC
Active
Other names
Vermont Housecalls LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM L GOODWIN FNP (OWNER)
(802) 293-2929
Entity
Organization
Contact information
Practice address
5053 MAIN ST, MANCHESTER CENTER, VT 05255-9771
(802) 293-2929
(802) 419-8311
Mailing address
704 STAPLES RD, DANBY, VT 05739-9341
(802) 293-2929
(802) 419-8311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0107976
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y400291819
MEDICARE
NY
01
—
Y400311948
MEDICARE
VT
Enumeration date
08/30/2016
Last updated
05/11/2017
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