Doctor Name: | MS. CHRISTINE M MALCOLM |
NPI Number: | 1790956738 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNM, FNP-BC |
License Number: | 039145-23 |
Business Practice Address: | 859 Old County Rd Waitsfield, VT - 056736221 |
Business Phone Number: | 8024963838 |
Business Fax Number: | 8024965586 |
Mailing Address: | Po Box 547, Central Vermont Medical Center - Finance Dept BARRE |
State: | VT |
Postal Code: | 056410547 |
Phone Number: | 8024963838 |
Fax Number: | 8024965586 |
NPI Enumeration Date: | 03/18/2008 |
NPI Last Update Date: | 12/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 039145-23 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |