Abigail Provost, | |
4 Slapp Hl, Hardwick, VT 05843-9300 | |
(802) 472-3300 | |
Not Available |
Full Name | Abigail Provost |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4 Slapp Hl, Hardwick, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679268015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 101.0136309 (Vermont) | Primary |
Entity Name | Northern Counties Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649236225 PECOS PAC ID: 2860300936 Enrollment ID: O20041203000125 |
Mailing Address | Practice Location Address |
---|---|
Abigail Provost, 340 Wallace Rd, Derby, VT 05829-9491 Ph: (802) 274-1162 | Abigail Provost, 4 Slapp Hl, Hardwick, VT 05843-9300 Ph: (802) 472-3300 |
Ms. Sally Kathryn Mathieson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Slapp Hl, Hardwick, VT 05843 Phone: 802-472-3300 Fax: 802-472-8277 | |
Ms. Jeri Briar Wohlberg, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Slapp Hill, Hardwick, VT 05843 Phone: 802-472-3300 Fax: 802-472-8277 | |
Rebecca S Tatel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Slapp Hl, Hardwick, VT 05843 Phone: 802-472-3300 | |
Maria T Calderwood, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Slapp Hill Road, Hardwick, VT 05843 Phone: 802-472-3300 Fax: 802-472-8277 | |
Jessica Claire Cullity, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1551 W Woodbury Rd, Hardwick, VT 05843 Phone: 802-535-8502 |