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Organization

MID VERMONT HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY A EUGAIR F,NP (OWNER)
(802) 786-9063
Entity
Organization

Contact information

Practice address
69 ALLEN ST, SUITE 10, RUTLAND, VT 05701-4564
(802) 786-9063
(802) 747-4532
Mailing address
69 ALLEN ST, SUITE 10, RUTLAND, VT 05701-4564
(802) 786-9063
(802) 747-4532

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1010021584
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008860
VT
01
369555
MVP
VT
01
500036759
RAILROAD MEDICARE
VT
01
58743
BC BS OF VERMONT
VT
01
9562489
CIGNA
VT
Enumeration date
05/22/2009
Last updated
05/22/2009
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