Marissa Jane Patrick
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
14 N Main St Ste 4002
Barre
, Vermont 05641-4197
Marissa Jane Patrick
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
14 N Main St Ste 4002
Barre
, Vermont 05641-4197
(802) 479-1346
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Marissa Jane Patrick
- Po Box 547 Att: Cmvc Finance Dept
- Barre, VT
- Zip : 05641-0547
- Fax : (802) 479-1346
- Phone : (802) 479-2546
Second Address
- Marissa Jane Patrick
- 14 N Main St Ste 4002
- Barre, VT
- Zip : 05641-4197
- Fax : (802) 479-1346
- Phone : (802) 479-2546
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 101.0116285 | VT |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 101.0116285 | VT |
National Provider Identifier
| NPI | 1033534334 |
|---|---|
| Provider Name | Marissa Jane Patrick |
| First Address | Barre, VT 05641-0547 |
| Second Address | Barre, VT 05641-4197 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2014 |
| Last Update Date | 29/10/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.