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Individual

ELIZABETH RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 773-3386
(802) 773-4578
Mailing address
75 PARK STREET, ELIZABETHTOWN COMMUNITY HOSPITAL, ELIZABETHTOWN, NY 12932-2300
(518) 873-6377
(518) 873-3097

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F337969
NY
363L00000X
Nurse Practitioner
Primary
101.0130490
VT

Other

Enumeration date
09/05/2013
Last updated
09/18/2019
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