=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063339240
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CYNTHIA ROACH BARGER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/30/2026
-----------------------------------------------------
Last Update Date | 06/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 163 VETERANS DR
-----------------------------------------------------
City | WHITE RIVER JUNCTION
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05001-7005
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-295-9363
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 111 HIGH PASTURES RD
-----------------------------------------------------
City | WOODSTOCK
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05091-8110
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-578-4705
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WM0705X
-----------------------------------------------------
Taxonomy Name | Medical-Surgical Registered Nurse
-----------------------------------------------------
License Number | 026.0093493
-----------------------------------------------------
License Number State | VT
-----------------------------------------------------