NPI 1043328693 · live from the CMS NPI Registry
P Spencer Burdge, aprn
Nurse Practitioner, Gerontology in White River Junction, VT. National Provider Identifier 1043328693, active.
NPI record
| NPI | 1043328693 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Gerontology 363LG0600X |
| Practice location | Vamc 116a, 215 N. Main St, White River Junction, VT 05009 |
| Practice phone | 802-295-8363 |
| Enumerated | August 25, 2006 |
| Last updated | July 13, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Gerontology primary | 363LG0600X | 135263 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.