Individual
KIM NICOLE DACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 ROOSEVELT HWY STE 132, COLCHESTER, VT 05446-4460
(802) 864-7483
(802) 660-4337
Mailing address
875 ROOSEVELT HWY STE 132, COLCHESTER, VT 05446-4460
(802) 864-7483
(802) 660-4337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2284328
MA
363LF0000X
Family Nurse Practitioner
Primary
101.0107576
VT
Other
Enumeration date
05/30/2014
Last updated
12/12/2016
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