| Doctor Name: | KATIE L JOHN |
| NPI Number: | 1013236827 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 101.0069151 |
| Business Practice Address: | 225 South Main Street Barre Internal Medicine Barre, VT - 05641 |
| Business Phone Number: | 8024793302 |
| Business Fax Number: | |
| Mailing Address: | Po Box 547, BARRE |
| State: | VT |
| Postal Code: | 056410547 |
| Phone Number: | 8023714100 |
| Fax Number: | |
| NPI Enumeration Date: | 05/19/2010 |
| NPI Last Update Date: | 12/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 101.0069151 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |