Organization
FIDDLEHEAD LEDGE LLC
Active
Other names
NORTHERN GREEN MOUNTAIN FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA DUPRAT APRN FNP-C (OWNER)
(802) 933-5702
Entity
Organization
Contact information
Practice address
12 CHURCH ST, SWANTON, VT 05488-1447
(802) 868-3175
Mailing address
67 SHAWVILLE RD, SHELDON, VT 05483-8383
(802) 933-5702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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