Individual
EVELYN SUSAN GERRETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 773-3386
(802) 773-4578
Mailing address
71 ALLEN ST, STE 403, RUTLAND, VT 05701-4570
(802) 772-4414
(802) 772-7973
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420008501
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00018585
BCBS
VT
05
—
OVN0381
—
VT
Enumeration date
10/18/2006
Last updated
07/29/2016
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