Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 006-0001170 | VT |
NPI | 1821254640 |
---|---|
Provider Name | Dr. Courtney K Vreeland |
First Address | White River Junction, VT 05001-9263 |
Second Address | White River Junction, VT 05001-9263 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2008 |
Last Update Date | 08/04/2017 |