Individual
DR. ANYA S STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
883 BLAKELY RD, COLCHESTER, VT 05446-4417
(802) 847-2055
Mailing address
71 ELK LN, WILLISTON, VT 05495-4412
(802) 878-2383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420010843
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02622122
—
NY
05
—
1010932
—
VT
Enumeration date
07/18/2006
Last updated
11/30/2022
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