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NPI Code Detail

MEDICARE: HEATHER MARIE KIERSTEAD CNM, WHNP

MEDICARE:   HEATHER MARIE KIERSTEAD  CNM, WHNP
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
1367A00000XAdvanced Practice Midwife078857-23NH
2367A00000XAdvanced Practice Midwife101.0098996VT
3363LF0000XFamily Nurse Practitioner101.0098996VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1101.0098996OTHERVTSTATE LICENSE - APRN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4078857-23OTHERNHSTATE LICENSE - APRN

General Provider Information

NPI Number : 1265785174
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MARIE KIERSTEAD CNM, WHNP
Provider Business Mailing Address
First Line : 600 BLAIR PARK RD STE 285
Second Line :
City : WILLISTON
State : VT
Zip : 05495-7855
Country : US
Telephone Number : 802-288-1140
Fax Number : 802-288-1144
Provider Business Practice Location Address
First Line : 6 HIGH ST
Second Line :
City : BRATTLEBORO
State : VT
Zip : 05301-3001
Country : US
Telephone Number : 866-476-1321
Fax Number : 802-257-4342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2012
Last Update Date : 02/19/2026

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Directions to “ HEATHER MARIE KIERSTEAD CNM, WHNP” Practice Location

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