Active NPIIndividual provider

Jennifer A Civiello, CPNP

Nurse Practitioner, Pediatrics in Bradford, Vermont

NPI Number1912076803
Practice location
331 Upper Plain, Bradford, VT 05033
Fax
802-222-4709
Last updated
July 8, 2007

Jennifer April Civiello is a Nurse Practitioner, Pediatrics based in Bradford, VT. 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 (VT). The current practice location address for Jennifer April Civiello is 331 Upper Plain, Bradford, VT 05033 and can be reached out via phone at 802-222-4722 and via fax at 802-222-4709.

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 05033
Phone Number
802-222-4722
Fax Number
802-222-4709
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Other Names
-- Jennifer April Glidden (Former Name)
Provider Enumeration Date
November 7, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
331 Upper Plain
Bradford, VT 05033
State
Vermont
Zip
05033
Phone Number
802-222-4722
Fax Number
802-222-4709
Bradford, VT 05033Get directions →

Provider Business Mailing Address Details

Address
37 Parkhurst St
Apt 1
Lebanon, NH 03766
City
Lebanon
State
NH
Zip
03766
Phone Number
603-448-3016

License Information

License Number
1010031684
License State
VT
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

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

Other Nurse Practitioner, Pediatrics providers near Bradford, VT

View all Nurse Practitioner, Pediatrics providers in Bradford →

Frequently Asked Questions

What is the NPI number of Jennifer A Civiello, CPNP?

The NPI number of Jennifer A Civiello, CPNP is 1912076803. It was assigned on November 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Jennifer A Civiello, CPNP?

Jennifer A Civiello, CPNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in VT under license number 1010031684.

Where does Jennifer A Civiello, CPNP practice?

The practice location is 331 Upper Plain, Bradford, VT 05033. The office can be reached at 802-222-4722 (phone) or 802-222-4709 (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 1912076803 directly on the NPPES registry website.

Browse related providers