Civiello, Jennifer April

Civiello, Jennifer April is an individual health care provider with primary practice located at 331 Upper Plain , Bradford VT 05033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Civiello, Jennifer April can be contacted via phone (802) 222-4722.

Contact Information

Primary practice address
331 Upper Plain Bradford VT 05033
Phone: (802) 222-4722
Fax: (802) 222-4709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1010031684 Vermont

Profile Details

NPI number 1912076803
LBN Legal business name Civiello, Jennifer April
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912076803 NPPES
New Hampshire MEDICAID 30344253
New Hampshire MEDICAID 1012431

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