Healthcare Provider Details
I. General information
NPI: 1912616566
Provider Name (Legal Business Name): NATURAL BEGINNINGS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/22/2022
Last Update Date: 11/22/2022
Certification Date: 11/22/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
670 PENCIL MILL ROAD
CASTLETON VT
05735
US
IV. Provider business mailing address
P.O. BOX 538
CASTLETON VT
05735
US
V. Phone/Fax
- Phone: 802-236-4136
- Fax:
- Phone: 802-236-4136
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WL0100X |
| Taxonomy | Lactation Consultant (Registered Nurse) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VICKI
KIRBY
Title or Position: OWNER
Credential: RN, IBCLC
Phone: 802-236-4136