Healthcare Provider Details

I. General information

NPI: 1871229252
Provider Name (Legal Business Name): AWR ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2022
Last Update Date: 07/27/2022
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 WALNUT ST
BRATTLEBORO VT
05301-6035
US

IV. Provider business mailing address

45 WALNUT ST
BRATTLEBORO VT
05301-6035
US

V. Phone/Fax

Practice location:
  • Phone: 802-251-0889
  • Fax: 802-254-9426
Mailing address:
  • Phone: 802-251-0889
  • Fax: 802-254-9426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MS. ANN W RICHARDS
Title or Position: PRESIDENT
Credential: APRN
Phone: 802-251-0889