Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | 042.0013374 | VT |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 19079 | NH |
NPI | 1013134683 |
---|---|
Provider Name | Dr. Sabina A Morissette |
First Address | Springfield, VT 05156-9108 |
Second Address | Jaffrey, NH 03452-6631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 01/02/2019 |