Dianne Patricia Prevo, APRN BC
Individual provider Active NPI Adult Health Nurse Practitioner · Williston, VT
NPI 1992715262 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992715262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 1010011670 (VT)
- Practice address
- 586 Oakhill Road
Thomas Chittenden Health Center
Williston, VT 05495 - Phone
- (802) 878-8131
- Fax
- (802) 879-6853
- NPI assigned
- Aug 9, 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 |
|---|---|---|---|
| 1010011670 | VT | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1010011670 | VT | Yes |
Addresses
Primary practice location
586 Oakhill Road
Thomas Chittenden Health Center
Williston, VT 05495
Mailing address
200 Highland Drive
Richmond, VT 05477
Phone (802) 434-6672
Other names
- Dianne Patricia Douglas
Other providers in Williston, VT
- Pine Ridge School, Inc.
- Eric Michael Place
- Planned Parenthood of Northern New England
- Dennis Armand Plante
- David Powsner
- Primary Care Health Partners - Vermont LLP
- Kimberly Anne Provost
- Carrie Hutchins Pryor
- PT 360 Inc
- Pure Audiology LLC
All providers in Williston, 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 Jul 8, 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.