Fiddlehead Ledge LLC

NPI #1669146510 in Swanton, Vermont

Provider Information

NPI Number: 1669146510
Entity Type: Organization
Organization Name: Fiddlehead Ledge LLC
Primary Specialty: Family Medicine
Enumeration Date: Aug 4, 2021
Last Updated: Aug 4, 2021

Practice Location

Address: 12 CHURCH ST
City: Swanton
State: Vermont
ZIP Code: 05488-1447
Phone: (802) 868-3175

Authorized Official

Name: KRISTINA DUPRAT, APRN FNP-C
Title: OWNER
Phone: (802) 933-5702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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