Healthcare Provider Details

I. General information

NPI: 1265110639
Provider Name (Legal Business Name): MEGAN BUHR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 05/01/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 WATERTOWER CIR # 200
COLCHESTER VT
05446-5801
US

IV. Provider business mailing address

637 HINESBURG RD APT 4
SOUTH BURLINGTON VT
05403-6713
US

V. Phone/Fax

Practice location:
  • Phone: 802-404-1492
  • Fax: 802-404-1490
Mailing address:
  • Phone: 207-317-0858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number101.0136341
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: