- Practice location
- 130 Fisher RD, Berlin, VT 05602-9516
- Phone
- 802-371-4316
- Fax
- 802-371-4579
- Last updated
- February 12, 2015
Keith J Breasure is a Nurse Practitioner, Family based in Berlin, VT. Keith J Breasure practices in Berlin, VT and has the professional credentials of MSN, NP. The NPI Number for Keith J Breasure is 1326097767 and holds a License No. LG0000383 (DE). The current practice location address for Keith J Breasure is 130 Fisher RD, Berlin, VT 05602-9516 and can be reached out via phone at 802-371-4316 and via fax at 802-371-4579.
Provider Profile Details
- NPI Number
- 1326097767
- Provider Name
- Keith J Breasure
- Credential
- MSN, NP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 130 Fisher RD, Berlin, VT 05602-9516
- Phone Number
- 802-371-4316
- Fax Number
- 802-371-4579
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 10, 2006
- Last Update Date
- February 12, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Fisher RD
Berlin, VT 05602-9516 - City
- Berlin
- State
- Vermont
- Zip
- 05602-9516
- Phone Number
- 802-371-4316
- Fax Number
- 802-371-4579
Provider Business Mailing Address Details
- Address
- Po Box 547
Att: Cvmc Finance Dept
Barre, VT 05641-0547 - City
- Barre
- State
- VT
- Zip
- 05641-0547
- Phone Number
- 802-371-4316
- Fax Number
- 802-371-4579
License Information
- License Number (1)
- LG0000383
- License State (1)
- DE
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- 101.0096152
- License State (2)
- VT
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Berlin, VT
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- Grace Altebrando, RNNurse Practitioner, Family · NPI 1609229707
- Kate Best, FNPNurse Practitioner, Family · NPI 1891190203
- Kirsten DidriksonNurse Practitioner, Family · NPI 1568012961
Frequently Asked Questions
What is the NPI number of Keith J Breasure, MSN, NP?
The NPI number of Keith J Breasure, MSN, NP is 1326097767. It was assigned on May 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Keith J Breasure, MSN, NP?
Keith J Breasure, MSN, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in DE under license number LG0000383.
Where does Keith J Breasure, MSN, NP practice?
The practice location is 130 Fisher RD, Berlin, VT 05602-9516. The office can be reached at 802-371-4316 (phone) or 802-371-4579 (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 1326097767 directly on the NPPES registry website.