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Individual

MRS. KRISTEN SMITH BIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC, IBCLC

Contact information

Practice address
1127 NORTH AVE, SUITE 41, BURLINGTON, VT 05408-2757
(802) 846-8100
Mailing address
600 BLAIR PARK RD STE 285, WILLISTON, VT 05495-7586
(802) 288-1140
(802) 288-1144

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
10912104
VT
363LF0000X
Family Nurse Practitioner
Primary
101.0085890
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020570
VT
Enumeration date
04/24/2012
Last updated
06/30/2023
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