Individual
MINTA TRIVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2445
Mailing address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2445
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
101.0134385
VT
Other
Enumeration date
09/10/2019
Last updated
09/09/2020
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