Individual
MS. AUTUMN SOLEIL BLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
209 AUSTINE DR, BRATTLEBORO, VT 05301-7223
(802) 579-8454
Mailing address
119 WARDON RD, PUTNEY, VT 05346-6738
(802) 579-8454
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
101.0135494
VT
Other
Enumeration date
03/22/2010
Last updated
12/05/2024
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