Healthcare Provider Details

I. General information

NPI: 1154723328
Provider Name (Legal Business Name): DARCY NORA FAIBISH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2014
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 42
CHARLOTTE VT
05445-0042
US

IV. Provider business mailing address

PO BOX 42
CHARLOTTE VT
05445-0042
US

V. Phone/Fax

Practice location:
  • Phone: 802-448-4408
  • Fax: 802-341-6595
Mailing address:
  • Phone: 802-448-4408
  • Fax: 802-341-6595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2284088
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number101.0135187
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: