Organization · Type 2 NPI
Taconic Essential Primary Care
Primary Care Nurse Practitioner · Rutland, VT
NPI number
1023829876
Active
Practice location
228 S Main St Apt 51
Rutland, VT 05701-4868
Fax (802) 772-9003
Mailing address
PO Box 1280
Rutland, VT 05701-1280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1023829876
Taconic Essential Primary Care's National Provider Identifier is 1023829876, issued on Jan 20, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Rutland, VT. The record was last updated on Aug 24, 2026.