Jennifer April Civiello in Bradford - Pediatrics

Jennifer April Civiello - NPI 1912076803

Jennifer April Civiello is a Pediatrics in Bradford, Vermont. Jennifer April Civiello practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jennifer April Civiello is 1912076803. The last update date is 2007-07-08.

Jennifer April Civiello's current location address is 331 Upper Plain, Bradford, Vermont. You can contact this provider via phone number 8022224722 and fax number 8022224709. The mailing address for Jennifer April Civiello is 331 Upper Plain, Bradford, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer April Civiello
Address 331 Upper Plain, Bradford, Vermont
Phone Number 8022224722
Fax Number 8022224709
Sole Proprietor N
Credentials CPNP

NPI Number Detail

NPI Number 1912076803
Provider Enumeration Date 2006-11-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 331 Upper Plain
City Bradford
State Vermont (VT)
Post Code 5033
Phone Number 8022224722
Fax Number 8022224709

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 1010031684
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30344253 NH --
1012431 VT --

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FAQs about Jennifer April Civiello

What is the unique provider identifier assigned to Jennifer April Civiello?

The Jennifer April Civiello has been issued the NPI (National Provider Identifier) 1912076803 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Jennifer April Civiello?

The Jennifer April Civiello is situated at 331 Upper Plain, in the city of Bradford, state of VT, with the zip code 5033.

What is the Jennifer April Civiello's specialty and taxonomy code?

The Jennifer April Civiello's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.

When was the Jennifer April Civiello's 1912076803 issued?

The Jennifer April Civiello's 1912076803 was issued on 2006-11-07.

When was the Jennifer April Civiello's information last updated?

The Jennifer April Civiello's information was last updated on 2007-07-08.

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