MEDICARE: MRS. ELIZABETH M BARRON

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	163WH0200X	Home Health Registered Nurse	026.0019611	VT

General Provider Information

NPI Number	:	1487297552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH M BARRON

Provider Business Mailing Address
First Line	:	18 CHERRY ST
Second Line	:
City	:	ESSEX JUNCTION
State	:	VT
Zip	:	05452-3639
Country	:	US
Telephone Number	:	802-734-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 CHERRY ST
Second Line	:
City	:	ESSEX JUNCTION
State	:	VT
Zip	:	05452-3639
Country	:	US
Telephone Number	:	802-734-0800
Fax Number	:

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

Provider Enumeration Date	:	10/22/2019
Last Update Date	:	10/22/2019

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