Individual
PATRICIA MARY KIJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05301
(802) 257-7785
Mailing address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05302
(802) 258-7785
(802) 258-3723
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0.26.0143292
VT
Other
Enumeration date
09/19/2022
Last updated
01/11/2023
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