Individual
HOUGHTON PAUL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN CDE
Contact information
Practice address
17 BELMONT AVE, ATT'N: MARILYN BOUDREAU, BRATTLEBORO, VT 05301-6613
(802) 257-8382
(802) 251-8466
Mailing address
17 BELMONT AVE, ATT'N: MARILYN BOUDREAU, BRATTLEBORO, VT 05301-6613
(802) 257-8382
(802) 251-8466
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
026-0015868
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58180
BLUE SHIELD
VT
Enumeration date
08/21/2006
Last updated
07/08/2007
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