Healthcare Provider Details

I. General information

NPI: 1033029772
Provider Name (Legal Business Name): MEGHAN POPEROWITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 FISHER RD UNIT 1
BERLIN VT
05602-8132
US

IV. Provider business mailing address

264 E BEAR SWAMP RD
MIDDLESEX VT
05602-9312
US

V. Phone/Fax

Practice location:
  • Phone: 802-371-5315
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number026.0081585
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: