Green Mountain Family Medicine
Organization Active NPI Adult Health Nurse Practitioner · Rutland, VT
NPI 1851712657 · NPPES record last updated Dec 20, 2013
Key facts
- NPI
- 1851712657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 101.0100410 (VT)
- Legal business name
- GREEN MOUNTAIN FAMILY MEDICINE
- Practice address
- 199 Stratton Rd
Rutland, VT 05701-4890 - Phone
- (802) 775-7798
- Fax
- (802) 775-7762
- NPI assigned
- Dec 20, 2013
- Organization subpart
- No
Authorized official
- Name
- Cristin Alexandria Craft, APRN
- Title
- Aprn
- Phone
- (802) 775-7798
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner |
363LA2200X | 101.0100410 | VT | Yes |
Addresses
Primary practice location
199 Stratton Rd
Rutland, VT 05701-4890
Mailing address
199 Stratton Rd
Rutland, VT 05701-4890
Phone (802) 775-7798
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018281 | Medicaid | VT |
Other providers in Rutland, VT
- Jordan Ashley Gray
- Peter B Gray
- Annalisa Greco
- Jessica N Greco
- Green Mountain Dental Sleep Center
- Green Mountain Infectious Disease LLC
- Green Mountain Oral Surgery LLC
- Chelsea E Greeno
- Richard A Greenspan
- Sarah Greenspan
All providers in Rutland, VT · Adult Health 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 Dec 20, 2013. 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.