Individual
MS. ANDREA CARRIE VAN WOERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
186 MEDICAL VILLAGE DR, NEWPORT, VT 05855-8537
(802) 334-4120
Mailing address
131 PALIN FARM RD, DERBY, VT 05829-9829
(802) 393-0084
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0121229
VT
363LF0000X
Family Nurse Practitioner
Primary
101.0135659PROV
VT
Other
Enumeration date
08/22/2022
Last updated
09/11/2022
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