Organization · Type 2 NPI
Shelburne Mind Body Medicine LLC
Psychiatric/Mental Health Nurse Practitioner · Charlotte, VT
NPI number
1447032115
Active
Practice location
161 Ferry Rd
Charlotte, VT 05445-9901
Fax (802) 341-6595
Mailing address
PO Box 42
Charlotte, VT 05445-0042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1447032115
Shelburne Mind Body Medicine LLC's National Provider Identifier is 1447032115, issued on Oct 17, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Charlotte, VT. The record was last updated on Apr 2, 2025.