Doctor Name: | BETH SCHILLER |
NPI Number: | 1396141966 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AGNP |
License Number: | 101.0109026 |
Business Practice Address: | 1244 Middle Rd Willsboro, NY - 129964813 |
Business Phone Number: | 5189634007 |
Business Fax Number: | |
Mailing Address: | 607 Middle Rd, ESSEX |
State: | NY |
Postal Code: | 129362533 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/10/2014 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 101.0109026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |