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Individual

JOANNE MATTHEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
7 COURT SQ, RUTLAND, VT 05701-4030
(802) 775-4388
(802) 775-3307
Mailing address
7 COURT SQ, RUTLAND, VT 05701-4030
(802) 775-4388
(802) 775-3307

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
CPPNS00106
RI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0125692
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1030508
VT
Enumeration date
06/03/2014
Last updated
09/28/2023
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