=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851644579
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARGARET SARA AITKEN ANP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/18/2012
-----------------------------------------------------
Last Update Date | 10/10/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 S PROSPECT ST
-----------------------------------------------------
City | BURLINGTON
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05401-3456
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-847-3154
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 216 ROWELL BUILDING 106 CARRIGAN DRIVE UNIVERSITY OF VERMONT DEPT. OF NURSING
-----------------------------------------------------
City | BURLINGTON
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05405
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-656-5496
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | 101.0090481
-----------------------------------------------------
License Number State | VT
-----------------------------------------------------