Healthcare Provider Details

I. General information

NPI: 1851215073
Provider Name (Legal Business Name): ELIZABETH ALESSANDRA GARIBAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 VETERANS DR
WHITE RIVER JUNCTION VT
05001-7005
US

IV. Provider business mailing address

163 VETERANS DR
WHITE RIVER JUNCTION VT
05001-7005
US

V. Phone/Fax

Practice location:
  • Phone: 802-295-9363
  • Fax:
Mailing address:
  • Phone: 802-295-9363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number101.0139698
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: