P Spencer Burdge, APRN
Individual provider Active NPI Gerontology Nurse Practitioner · White River Junction, VT
NPI 1043328693 · NPPES record last updated Jul 13, 2007
Key facts
- NPI
- 1043328693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 135263 (MA)
- Practice address
- Vamc 116a
215 N. Main St
White River Junction, VT 05009-0001 - Phone
- (802) 295-8363
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135263 | MA | MD | Gerontology Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 135263 | MA | Yes |
Addresses
Primary practice location
Vamc 116a
215 N. Main St
White River Junction, VT 05009-0001
Mailing address
Vamc 116a
215 N. Main St
White River Junction, VT 05009-0001
Phone (802) 295-8363
Other providers in White River Junction, VT
- Rachel Corinne Brown
- Virginia M Brown
- Chad Brunet
- Jennifer M Bukowski
- Marion S Burchard
- Joanne Burgess
- Tonya Marie Burkholder
- Judith R. Bush
- Jessenia Falom Cabral
- Ariel Cahn-Flores
All providers in White River Junction, VT · Gerontology Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.