Individual
MS. ERIKA-KRISTINA BRADSTREET PINELES-MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP / CNM
Contact information
Practice address
130 FISHER RD STE 1-1, BERLIN, VT 05602-8132
(802) 371-4100
Mailing address
PO BOX 547, BARRE, VT 05641-0547
(802) 371-5961
(802) 371-5960
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
101.0135051
VT
363LW0102X
Women's Health Nurse Practitioner
1013296
DC
367A00000X
Advanced Practice Midwife
101.0135051
VT
367A00000X
Advanced Practice Midwife
1013296
DC
Other
Enumeration date
03/01/2010
Last updated
11/19/2021
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