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ABIGAIL REIBER HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
331 UPPER PLN, BRADFORD, VT 05033-9207
(802) 222-4722
Mailing address
239 HAWLEY LN, RUTLAND, VT 05701-8979
(802) 236-0378

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
101.0136325
VT
363LP2300X
Primary Care Nurse Practitioner
101.0136325
VT

Other

Enumeration date
06/27/2023
Last updated
06/27/2023
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