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Individual

DURRELLE T WHITMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
720 VILLAGE ROAD, EAST CORINTH, VT 05040
(802) 439-5321
Mailing address
4 SKUNK HOLLOW RD, EAST HARDWICK, VT 05836-9739
(802) 533-7084

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1010101436
VT
363L00000X
Nurse Practitioner
1813
WI
363L00000X
Nurse Practitioner
AP60303523
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023061
VT
05
1609888684
WA
05
43943700
WV
Enumeration date
08/11/2006
Last updated
10/02/2014
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