Individual
HEATHER JANINE FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
Mailing address
136 WORCESTER AVE, WHITE RIVER JUNCTION, VT 05001-8013
(802) 989-3577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
026.0096028
VT
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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