NPI 1255502241

Nancy Marie Smyth.

Organisation Exclusive Provider Organization Waitsfield, VT

Practice location

Address: 105-4 Mad River Green, Waitsfield, VT 05673
Phone: (802) 279-2091
Fax: (802) 496-6606
Mailing address: PO Box 760, Waitsfield, VT 05673-0760

Authorised official

Name: Nancy Marie Smyth
Title: Occupational Therapist; Owner
Phone: (802) 279-2091

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 0720000083 (VT)

Other Exclusive Provider Organization providers in Vermont →

Registry record

NPI: 1255502241
Entity type: Organization
NPI issued: 18 Mar 2008
Record last updated: 23 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.