Individual
MARTHA A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
(802) 291-6289
Mailing address
PO BOX 1152, NORWICH, VT 05055-1152
(802) 649-3604
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1010009829
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48287
BCBSVT
VT
Enumeration date
08/30/2006
Last updated
07/08/2007
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