Individual
CHERYL A HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
109 PROFESSIONAL DR, MORRISVILLE, VT 05661-9301
(802) 851-0999
Mailing address
109 PROFESSIONAL DR, MORRISVILLE, VT 05661-9301
(802) 851-0999
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
101-0011324
VT
363LF0000X
Family Nurse Practitioner
Primary
101-0011324
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028052
BLUE SHIELD
VT
05
—
0NP0316
—
VT
01
—
11V105
MVP
VT
01
—
4647901
VERMONT MANAGED CARE
VT
01
—
500002168
TRAVELERS MEDICARE
VT
01
—
762143
CIGNA
VT
Enumeration date
07/22/2006
Last updated
01/29/2020
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