Malcolm, Christine M

Malcolm, Christine M is an individual health care provider with primary practice located at 1878 Mountain Rd , Stowe VT 05672-4776. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Malcolm, Christine M can be contacted via phone (802) 253-4853.

Contact Information

Primary practice address
1878 Mountain Rd Stowe VT 05672-4776
Phone: (802) 253-4853
Fax: (802) 496-5586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 039145-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 039145-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1010021863 Vermont

Profile Details

NPI number 1790956738
LBN Legal business name Malcolm, Christine M
Credentials CNM, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2008
Last updated Apr 5th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790956738 NPPES
Vermont Other VN200903 MEDICARE PTAN LINKED TO CVMC MGP
Vermont MEDICAID 0NP0315 MEDICARE PTAN LINKED TO CVMC MGP

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