Individual provider · Type 1 NPI

Stacey D. Lariviere

Psychiatric/Mental Health Nurse Practitioner · Rutland, VT

NPI number 1154281004 Active

Practice location

231 N Main St
Rutland, VT 05701-2412

Mailing address

71 Allen St Ste 101
Rutland, VT 05701-4570

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X060577-23 (NH)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1154281004

Stacey D. Lariviere's National Provider Identifier is 1154281004, issued on Nov 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rutland, VT. The record was last updated on Nov 17, 2025.