Individual
WANDA CHRISTINE MINENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
655 MAIN ST, BENNINGTON, VT 05201-2845
(802) 447-2343
(802) 442-4636
Mailing address
600 BLAIR PARK RD STE 285, WILLISTON, VT 05495-7855
(802) 288-1140
(802) 288-1144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0134955
VT
Other
Enumeration date
02/23/2015
Last updated
07/15/2024
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