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General NPI Number Information
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NPI Number | 1083681167
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Entity Type | Individual
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Provider Name | SHAUN D DEMERS APRN
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Gender | Male
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 03/17/2017
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Provider Practice Location Address
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Address Line | 82 E VIEW LN CVMC FAMILY PSYCHIATRY
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City | BARRE
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State | VT
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Zip | 05641-5332
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Country | US
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Telephone | 802-225-1266
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Fax | 802-479-3548
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Provider Business Mailing Address
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Address Line | PO BOX 547 ATTN FINANCE DEPARTMENT
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City | BARRE
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State | VT
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Zip | 05641-0547
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Country | US
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Telephone | 802-225-1266
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Fax | 802-479-3548
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 101.0123357
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License Number State | VT
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