Active NPIIndividual provider

Judith Dickerman-Nelson, AAP

Community Health Worker in Brattleboro, Vermont

NPI Number1063265387
Practice location
51 Fairview Street, Brattleboro, VT 05301
Fax
802-254-7501
Last updated
April 8, 2024

Judith Dickerman-Nelson is a Community Health Worker based in Brattleboro, VT. Judith Dickerman-Nelson practices in Brattleboro, VT and has the professional credentials of AAP. The NPI Number for Judith Dickerman-Nelson is 1063265387 and holds a License No. 149.0124424 (VT). The current practice location address for Judith Dickerman-Nelson is 51 Fairview Street, Brattleboro, VT 05301 and can be reached out via phone at 802-254-6028 and via fax at 802-254-7501.

Provider Profile Details

NPI Number
1063265387
Provider Name
Judith Dickerman-Nelson
Credential
AAP
Provider Entity Type
Individual
Gender
Female
Address
51 Fairview Street, Brattleboro, VT 05301
Phone Number
802-254-6028
Fax Number
802-254-7501
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Provider Enumeration Date
April 8, 2024
Last Update Date
April 8, 2024
Certification Date
April 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Fairview Street
Brattleboro, VT 05301
State
Vermont
Zip
05301
Phone Number
802-254-6028
Fax Number
802-254-7501
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
390 River Street
Springfield, VT 05156
City
Springfield
State
VT
Zip
05156
Phone Number
802-886-4500
Fax Number
802-886-4520

License Information

License Number
149.0124424
License State
VT
Taxonomy
Community Health Worker · 172V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Judith Dickerman-Nelson, AAP?

The NPI number of Judith Dickerman-Nelson, AAP is 1063265387. It was assigned on April 8, 2024 and is currently active in the NPPES registry.

What is the specialty of Judith Dickerman-Nelson, AAP?

Judith Dickerman-Nelson, AAP is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in VT under license number 149.0124424.

Where does Judith Dickerman-Nelson, AAP practice?

The practice location is 51 Fairview Street, Brattleboro, VT 05301. The office can be reached at 802-254-6028 (phone) or 802-254-7501 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063265387 directly on the NPPES registry website.

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