Organization
GREEN MOUNTAIN NUTRITION ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE WATERMAN (PARTNER)
(802) 476-7607
Entity
Organization
Contact information
Practice address
20 S MAIN ST, BARRE, VT 05641-4826
(802) 476-7607
Mailing address
1555 CENTER RD, MONTPELIER, VT 05602-8547
(802) 476-7607
(802) 229-5076
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
074-0000052
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007363
—
VT
Enumeration date
09/03/2006
Last updated
08/22/2020
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