Individual
TONYA WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
128 LAKESIDE AVE, SUITE 115, BURLINGTON, VT 05401-4939
(802) 860-1928
(802) 860-0192
Mailing address
128 LAKESIDE AVE, SUITE 115, BURLINGTON, VT 05401-4939
(802) 860-1928
(802) 860-0192
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1010029537
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012840
—
VT
Enumeration date
08/05/2006
Last updated
11/02/2011
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