Organization
EVERGREEN FAMILY HEALTH PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINA PAYEA (CONTROLLER)
(802) 878-1008
Entity
Organization
Contact information
Practice address
426 INDUSTRIAL AVE STE 130, WILLISTON, VT 05495-4449
(802) 878-1008
(802) 872-2679
Mailing address
426 INDUSTRIAL AVE STE 130, WILLISTON, VT 05495-4449
(802) 878-1008
(802) 872-2679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008514
—
VT
Enumeration date
02/26/2007
Last updated
10/22/2024
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