Beverley Flanagan Raymond, NP-C

Individual provider Active NPI Adult Health Nurse Practitioner · Colchester, VT

NPI 1821383076 · NPPES record last updated Jun 16, 2011

Key facts

NPI
1821383076
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
101.0025566 (VT)
Practice address
354 Mountain View Dr
Suite 300
Colchester, VT 05446-5968
Phone
(802) 857-0400
NPI assigned
Jun 16, 2011
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

LicenseStateTypeSpecialty
101.0025566VTMDAdult Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 101.0025566 VT Yes

Addresses

Primary practice location

354 Mountain View Dr
Suite 300
Colchester, VT 05446-5968

Mailing address

354 Mountain View Dr
Suite 300
Colchester, VT 05446-5968

Other providers in Colchester, VT

All providers in Colchester, VT · Adult Health Nurse Practitioner in Vermont

Sources for this page

Verify at the official NPI Registry.