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Individual

BRIDGET K FILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
156 WALL ST, SPRINGFIELD, VT 05156-3528
(802) 885-1166
Mailing address
PO BOX 710, SPRINGFIELD MEDICAL CARE SYSTEMS, SPRINGFIELD, VT 05156-0710
(802) 885-1166

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101-0025023
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30342727
NH
05
ONP2008
VT
Enumeration date
07/24/2006
Last updated
09/27/2011
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