Doctor Name: | AIMEE BULLETTSMITH |
NPI Number: | 1093783821 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 101-0023089 |
Business Practice Address: | 140 Hospital Dr Suite 215 Bennington, VT - 052015009 |
Business Phone Number: | 8024422997 |
Business Fax Number: | 8024470635 |
Mailing Address: | 140 Hospital Dr, Suite 215 BENNINGTON |
State: | VT |
Postal Code: | 052015009 |
Phone Number: | 8024422997 |
Fax Number: | 8024470635 |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 09/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0106X |
License Number: | 101-0023089 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Occupational Health |
Taxonomy Definition: |