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Individual

SARAH ANN MUTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
44 MAIN ST STE 200, RICHFORD, VT 05476-1141
(802) 255-5500
Mailing address
22 LITTLE EAGLE BAY, BURLINGTON, VT 05408-2782
(802) 881-5498

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0078127
VT
363LA2200X
Adult Health Nurse Practitioner
Primary
101.0127137
VT

Other

Enumeration date
09/26/2017
Last updated
10/12/2017
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