Individual
JOHANNA POWDEN GOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
595 DORSET ST STE 4, SOUTH BURLINGTON, VT 05403-6240
(802) 489-5552
(802) 488-5465
Mailing address
359 NORTH RD, HINESBURG, VT 05461-9127
(805) 610-4542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
647378
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101.0136722
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
19126
CA
Other
Enumeration date
12/04/2006
Last updated
07/15/2024
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