Winooski Integrative Medicine PC

NPI #1619694478 in Winooski, Vermont

Provider Information

NPI Number: 1619694478
Entity Type: Organization
Organization Name: Winooski Integrative Medicine PC
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Oct 24, 2022
Last Updated: Feb 14, 2025

Practice Location

Address: 321 MAIN ST STE B
City: Winooski
State: Vermont
ZIP Code: 05404-1380
Phone: (802) 636-4133

Authorized Official

Name: SAM RUSSO, ND,LAC, RMSK
Title: PRINCIPAL
Phone: (802) 636-4133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Naturopath	175F00000X
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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