Gotham, Ann E

Gotham, Ann E is an individual health care provider with primary practice located at 1 S Prospect St , Burlington VT 05401-3456. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gotham, Ann E can be contacted via phone (802) 847-4576.

Contact Information

Primary practice address
1 S Prospect St Burlington VT 05401-3456
Phone: (802) 847-4576
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 101-0012931 Vermont

Profile Details

NPI number 1770695207
LBN Legal business name Gotham, Ann E
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 21st, 2022 - about 3 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 1770695207 NPPES
Vermont MEDICAID 0NP1010

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