Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | VT |
NPI | 1013934884 |
---|---|
Provider Name | Dr. Nancy A Drucker |
First Address | Underhill, VT 05489-9644 |
Second Address | Burlington, VT 05401-1473 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01354461 | (05) | NY |
F40678 | (02) | |
OVN0481 | (05) | VT |