Doctor Name: | CAREY J BRODZINSKI |
NPI Number: | 1225093636 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 101-0020383 |
Business Practice Address: | 185 Sherman Drive Suite 1 St Johnsbury, VT - 05819 |
Business Phone Number: | 8027485041 |
Business Fax Number: | 8027485094 |
Mailing Address: | 165 Sherman Dr, ST JOHNSBURY |
State: | VT |
Postal Code: | 058199811 |
Phone Number: | 8027489405 |
Fax Number: | 8027484540 |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 09/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 101-0020383 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |