Individual
NICOLE R SUGRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
174 HOSPITAL LOOP, BERLIN, VT 05602-9105
(802) 479-4083
(802) 476-1476
Mailing address
PO BOX 647, MONTPELIER, VT 05601-0647
(802) 301-3200
(802) 223-0842
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
097.0136468
VT
Other
Enumeration date
02/07/2024
Last updated
10/27/2025
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