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Individual

KATIE PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
Mailing address
237 NORTH ST, MIDDLETOWN SPRINGS, VT 05757-4449
(802) 353-8557

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0033658
VT
363LF0000X
Family Nurse Practitioner
Primary
101.0135120
VT

Other

Enumeration date
10/27/2020
Last updated
05/31/2022
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