Healthcare Provider Details

I. General information

NPI: 1902092141
Provider Name (Legal Business Name): COURTNEY P MARCHETTI MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 BILLINGS FARM RD STE 2E-5
WHITE RIVER JUNCTION VT
05001-5401
US

IV. Provider business mailing address

205 BILLINGS FARM RD STE 2E-5
WHITE RIVER JUNCTION VT
05001-5401
US

V. Phone/Fax

Practice location:
  • Phone: 802-491-3220
  • Fax: 802-317-1724
Mailing address:
  • Phone: 802-491-3220
  • Fax: 802-317-1724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number1010106045
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: