Active NPIOrganization

White River Family Practice PC

Family Medicine in White River Jct, Vermont

NPI Number1518032564
Practice location
331 Olcott Drive, Suite U3, White River Jct, VT 05001
Fax
802-295-1358
Last updated
March 29, 2021

White River Family Practice PC is a healthcare organization based in White River Jct, VT. White River Family Practice PC practices in White River Jct, VT. The NPI Number for White River Family Practice PC is 1518032564 and holds a License No. 101360800 (VT). The current practice location address for White River Family Practice PC is 331 Olcott Drive, Suite U3, White River Jct, VT 05001 and can be reached out via phone at 802-295-6132 and via fax at 802-295-1358.

Provider Profile Details

NPI Number
1518032564
Provider Name
White River Family Practice PC
Provider Entity Type
Organization
Address
331 Olcott Drive, Suite U3, White River Jct, VT 05001
Phone Number
802-295-6132
Fax Number
802-295-1358
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Mark M Nunlist · MD · 802-295-6132
Provider Enumeration Date
November 22, 2006
Last Update Date
March 29, 2021
Certification Date
March 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
331 Olcott Drive
Suite U3
White River Jct, VT 05001
State
Vermont
Zip
05001
Phone Number
802-295-6132
Fax Number
802-295-1358
White River Jct, VT 05001Get directions →

Provider Business Mailing Address Details

Address
331 Olcott Drive
Suite U3
White River Jct, VT 05001
City
White River Jct
State
VT
Zip
05001
Phone Number
802-295-6132
Fax Number
802-295-1358

License Information

License Number
101360800
License State
VT
Taxonomy
Family Medicine · 207Q00000X · 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 White River Family Practice PC?

The NPI number of White River Family Practice PC is 1518032564. It was assigned on November 22, 2006 and is currently active in the NPPES registry.

What is the specialty of White River Family Practice PC?

White River Family Practice PC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VT under license number 101360800.

Where does White River Family Practice PC practice?

The practice location is 331 Olcott Drive, Suite U3, White River Jct, VT 05001. The office can be reached at 802-295-6132 (phone) or 802-295-1358 (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 1518032564 directly on the NPPES registry website.

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