Individual
NICOLE ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 WASHINGTON HIGHWAY, MANSFIELD ORTHOPEDICS @ COPLEY, MORRISVILLE, VT 05661-8972
(802) 888-8405
Mailing address
528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
(802) 888-4231
(802) 888-8203
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
055-0030896
VT
Other
Enumeration date
02/20/2008
Last updated
04/24/2013
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