Individual
MISS VICTORIA MAE GREENOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, RN
Contact information
Practice address
792 COLLEGE PARKWAY FANNY ALLEN CAMPUS, MEDICAL OFFICE, LEVEL 2, SUITE 205, COLCHESTER, VT 05446
(802) 847-1111
Mailing address
792 COLLEGE PARKWAY FANNY ALLEN CAMPUS, MEDICAL OFFICE, LEVEL 2, SUITE 205, COLCHESTER, VT 05446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0140121
VT
363L00000X
Nurse Practitioner
Primary
101-0135961
VT
Other
Enumeration date
11/16/2022
Last updated
03/21/2023
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