- Practice location
- 130 Fisher RD Ste 2, Berlin, VT 05602-9516
- Phone
- 802-225-3980
- Fax
- —
- Last updated
- October 2, 2020
Kirsten Didrikson is a Nurse Practitioner, Family based in Berlin, VT. Kirsten Didrikson practices in Berlin, VT. The NPI Number for Kirsten Didrikson is 1568012961 and holds a License No. RN2322196 (MA). The current practice location address for Kirsten Didrikson is 130 Fisher RD Ste 2, Berlin, VT 05602-9516 and can be reached out via phone at 802-225-3980.
Provider Profile Details
- NPI Number
- 1568012961
- Provider Name
- Kirsten Didrikson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 130 Fisher RD Ste 2, Berlin, VT 05602-9516
- Phone Number
- 802-225-3980
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 17, 2019
- Last Update Date
- October 2, 2020
- Certification Date
- October 2, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Fisher RD Ste 2
Berlin, VT 05602-9516 - City
- Berlin
- State
- Vermont
- Zip
- 05602-9516
- Phone Number
- 802-225-3980
Provider Business Mailing Address Details
- Address
- 336 Union Ave
Framingham, MA 01702-6355 - City
- Framingham
- State
- MA
- Zip
- 01702-6355
License Information
- License Number (1)
- RN2322196
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 101.0134600
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Kirsten Didrikson?
The NPI number of Kirsten Didrikson is 1568012961. It was assigned on September 17, 2019 and is currently active in the NPPES registry.
What is the specialty of Kirsten Didrikson?
Kirsten Didrikson is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2322196.
Where does Kirsten Didrikson practice?
The practice location is 130 Fisher RD Ste 2, Berlin, VT 05602-9516. The office can be reached at 802-225-3980 (phone).
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 1568012961 directly on the NPPES registry website.