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Individual

MRS. JANE GOODMAN PAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
488 ELM STREET, BARTON, VT 05822
(802) 525-3539
(802) 334-3281
Mailing address
488 ELM STREET, BARTON, VT 05822
(802) 525-3539
(802) 334-3281

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1010023543
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00029711
BLUE SHIELD
VT
05
0NP0812
VT
01
356731
MVP
VT
01
8000473
LADIES FIRST
VT
Enumeration date
11/06/2006
Last updated
07/08/2007
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