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Individual

MRS. TRACEY NIQUETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1 S PROSPECT ST, UHC GIVEN HEALTH CARE, BURLINGTON, VT 05401-3456
(802) 847-4531
(802) 847-8510
Mailing address
87 LYMAN AVE, BURLINGTON, VT 05401-5051
(802) 864-0158

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1010021648
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0NP2523
VT
Enumeration date
09/23/2006
Last updated
07/08/2007
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