Organization
GREEN MOUNTAIN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIN ALEXANDRIA CRAFT APRN (APRN)
(802) 775-7798
Entity
Organization
Contact information
Practice address
199 STRATTON RD, RUTLAND, VT 05701-4890
(802) 775-7798
(802) 775-7762
Mailing address
199 STRATTON RD, RUTLAND, VT 05701-4890
(802) 775-7798
(802) 775-7762
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
101.0100410
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018281
—
VT
Enumeration date
12/20/2013
Last updated
12/20/2013
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