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Individual

HEATHER JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LDEM, CPM, RN, CNM

Contact information

Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2401
Mailing address
44 S MAIN ST, RANDOLPH, VT 05060-1381

Taxonomy

Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
6164811-3102
UT
176B00000X
Midwife
6164811-3400
UT
367A00000X
Advanced Practice Midwife
Primary
101.0131637
VT

Other

Enumeration date
11/01/2006
Last updated
07/18/2017
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