Maxine Elizabeth Fidler, N.D., L.AC.
Individual provider Active NPI Naturopath · Middlebury, VT
NPI 1497986855 · NPPES record last updated Aug 5, 2009
Key facts
- NPI
- 1497986855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 099-0000256 (VT)
- Practice address
- 31 Court Street
Middlebury, VT 05753 - Phone
- (802) 349-0440
- NPI assigned
- Aug 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 099-0000256 | VT | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | VT | ||
| Naturopath | 175F00000X | 099-0000256 | VT | Yes |
Addresses
Primary practice location
31 Court Street
Middlebury, VT 05753
Mailing address
39 Otterside Court North
#24
Middlebury, VT 05753
Phone (802) 349-0440
Other names
- Maxine Elizabeth Huda
Other providers in Middlebury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2009. 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.