Individual
TIA HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3290 CAMELS HUMP RD, HUNTINGTON, VT 05462-9714
(802) 349-0101
Mailing address
3290 CAMELS HUMP RD, HUNTINGTON, VT 05462-9714
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
026.0139518
VT
163WH0200X
Home Health Registered Nurse
026.0139518
VT
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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