Didrikson, Kirsten

Didrikson, Kirsten is an individual health care provider with primary practice located at 130 Fisher Rd Ste 2 , Berlin VT 05602-9516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Didrikson, Kirsten can be contacted via phone (802) 225-3980.

Contact Information

Primary practice address
130 Fisher Rd Ste 2 Berlin VT 05602-9516
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2322196 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 101.0134600 Vermont

Profile Details

NPI number 1568012961
LBN Legal business name Didrikson, Kirsten
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2019
Last updated Oct 2nd, 2020 - about 4 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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