person
Jennifer April Civiello, CPNP
Pediatric Nurse Practitioner in Bradford, Vermont
NPI 1912076803

Jennifer April Civiello is a Pediatric Nurse Practitioner based in Lebanon, VT and is specialized in Pediatrics. Jennifer April Civiello practices in Bradford, VT and has the professional credentials of CPNP. The NPI Number for Jennifer April Civiello is 1912076803 and holds a License No. 1010031684 (Vermont).

The current practice location address for Jennifer April Civiello is 331 Upper Plain, Bradford, VT and can be reached out via phone at 802-222-4722 and via fax at 802-222-4709.

Location: 331 Upper Plain, Bradford, VT, 03766
person
Provider Profile Details
NPI Number
1912076803
Provider Name
Jennifer April Civiello
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
331 Upper Plain, Bradford, VT, 03766
Phone Number
802-222-4722
Fax Number
802-222-4709
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30344253 05 NH
1012431 05 VT
institution
Provider Business Practice Location Address Details
Address
331 Upper Plain
City
State
Zip
05033
Phone Number
802-222-4722
Fax Number
802-222-4709
person
Provider Business Mailing Address Details
Address
331 Upper Plain
City
State
Zip
05033
Phone Number
802-222-4722
Fax Number
802-222-4709
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
1010031684 (Vermont)
Definition
Definition to come...
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