Individual
ABIGAIL PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 SLAPP HL, HARDWICK, VT 05843-9300
(802) 472-3300
Mailing address
340 WALLACE RD, DERBY, VT 05829-9491
(802) 274-1162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0136309
VT
Other
Enumeration date
04/11/2023
Last updated
05/28/2025
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