Individual provider · Type 1 NPI
Keith J. Breasure, MSN, NP
Family Nurse Practitioner · Berlin, VT
NPI number
1326097767
Active
Practice location
130 Fisher Rd
Berlin, VT 05602-9516
Fax (802) 371-4579
Mailing address
PO Box 547, Att: Cvmc Finance Dept
Barre, VT 05641-0547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | LG0000383 (DE) |
| Family Nurse Practitioner Primary | 363LF0000X | 101.0096152 (VT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1326097767
Keith J. Breasure, MSN, NP's National Provider Identifier is 1326097767, issued on May 10, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Berlin, VT. The record was last updated on Feb 12, 2015.