Organization
BRIDGES HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE VANA IV MD (PSYCHIATRIST)
(802) 307-9998
Entity
Organization
Contact information
Practice address
145 PINE HAVEN SHORES RD STE 1000-54, SHELBURNE, VT 05482-7703
(802) 307-9998
(352) 353-0910
Mailing address
861 WILLISTON RD STE 8, SOUTH BURLINGTON, VT 05403-5724
(802) 307-9998
(352) 353-0910
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295147924
—
WA
Enumeration date
01/25/2023
Last updated
04/16/2024
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