NPI 1194580118
Jesse Stirtan, BAMED
Practice location
- Address
- 51 Fairview Street, Brattleboro, VT 05301
- Phone
- (802) 254-6028
- Fax
- (802) 886-4520
- Mailing address
- 390 River Street, Springfield, VT 05156
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1194580118
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Feb 2024
- Record last updated
- 19 Feb 2024
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.