| Krista Roxann Nickerson, CNM | |
|
353 Blair Park Rd, Women's Health Service, Williston, VT 05495-7530 | |
| (802) 847-1600 | |
| Not Available |
| Full Name | Krista Roxann Nickerson |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 353 Blair Park Rd, Williston, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568479814 | NPI | - | NPPES |
| 1012201 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 101-0025978 (Vermont) | Primary |
| Entity Name | University Of Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Roxann Nickerson, CNM 79 Front St, Burlington, VT 05401-4302 Ph: (802) 881-8804 | Krista Roxann Nickerson, CNM 353 Blair Park Rd, Women's Health Service, Williston, VT 05495-7530 Ph: (802) 847-1600 |
Martha Elizabeth Churchill, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1245 Fax: 802-847-6472 | |
Bonitta C Steuer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1400 | |
Sandra Gail Wood, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1600 | |
Ms. Francine D Cohen, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 183 Talcott Rd, Williston, VT 05495 Phone: 802-878-4800 Fax: 802-879-4433 |