MEDICARE: KATHARINE NOELLE CUTTING APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	101.0137179	VT

General Provider Information

NPI Number	:	1730924457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHARINE NOELLE CUTTING APRN

Provider Business Mailing Address
First Line	:	PO BOX 5553
Second Line	:
City	:	ESSEX JUNCTION
State	:	VT
Zip	:	05453-5553
Country	:	US
Telephone Number	:	802-343-5727
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	:	802-434-3130

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

Provider Enumeration Date	:	06/25/2024
Last Update Date	:	06/25/2024

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