Organization
PINEWOOD TMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE PLUMMER R.N. (OWNER)
(802) 246-1304
Entity
Organization
Contact information
Practice address
167 MAIN ST, OFFICE 310, BRATTLEBORO, VT 05301-7128
(802) 246-1304
(802) 246-1314
Mailing address
167 MAIN ST, OFFICE 310, BRATTLEBORO, VT 05301-7128
(802) 246-1304
(802) 246-1314
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
026.0028740
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026.0028740
NURSING LICENSE
VT
Enumeration date
06/06/2012
Last updated
06/06/2012
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