MEDICARE: DEIRDRE HOWARD DNP, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	101.0135697	VT

General Provider Information

NPI Number	:	1255053740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEIRDRE HOWARD DNP, FNP-C

Provider Business Mailing Address
First Line	:	30 W MAIN ST
Second Line	:
City	:	RICHMOND
State	:	VT
Zip	:	05477-4479
Country	:	US
Telephone Number	:	802-434-4123
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 W MAIN ST
Second Line	:
City	:	RICHMOND
State	:	VT
Zip	:	05477-4479
Country	:	US
Telephone Number	:	802-434-4123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2022
Last Update Date	:	09/13/2022

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