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Individual

DEBRA J BIXBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
97 SHERMAN DR, ST JOHNSBURY PEDIATRICS, ST JOHNSBURY, VT 05819-9280
(802) 748-5131
(802) 748-4237
Mailing address
97 SHERMAN DRIVE, ST JOHNSBURY, VT 05819-8456

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
048361-23-03
NH
363LF0000X
Family Nurse Practitioner
Primary
101-0019504
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007933
VT
05
3072235
NH
Enumeration date
05/26/2006
Last updated
06/18/2013
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