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Individual

BETH SCHILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
150 KENNEDY DR, S BURLINGTON, VT 05403-6749
(802) 448-9370
(802) 448-1414
Mailing address
607 MIDDLE RD, ESSEX, NY 12936-2533

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
101.0109026
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101.0109026
AGNP LICENSE
VT
01
665408
RN LICENSE
NY
Enumeration date
11/10/2014
Last updated
11/12/2019
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