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NPI Code Detail

MEDICARE: MRS. MAUREEN BOARDMAN ARNP

MEDICARE: MRS. MAUREEN BOARDMAN ARNP
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
1363L00000XNurse Practitioner0010030382VT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00343208OTHERVTRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861433500
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAUREEN BOARDMAN ARNP
Provider Business Mailing Address
First Line : PO BOX 8
Second Line :
City : NEWBURY
State : VT
Zip : 05051-0008
Country : US
Telephone Number : 802-222-3026
Fax Number : 888-462-0883
Provider Business Practice Location Address
First Line : 437 S MAIN ST
Second Line :
City : BRADFORD
State : VT
Zip : 05033-9196
Country : US
Telephone Number : 802-222-9317
Fax Number : 888-462-0883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 12/02/2024

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