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Organization

NORTHERN COUNTIES HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE ESTES (CREDENTIALING REP)
(802) 748-9405
Entity
Organization

Contact information

Practice address
165 SHERMAN DR, ST JOHNSBURY, VT 05819
(802) 748-9405
(802) 748-4540
Mailing address
165 SHERMAN DRIVE, PO BOX 388, ST JOHNSBURY, VT 05819
(802) 748-9405
(802) 748-4540

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1010016293
VT

Other

Enumeration date
10/16/2006
Last updated
08/22/2020
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