NPI 1124347620 · live from the CMS NPI Registry
Tristin Adie, FNP
Nurse Practitioner, Family in Fairfax, VT. National Provider Identifier 1124347620, active.
NPI record
| NPI | 1124347620 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 4178 Highbridge Rd, Fairfax, VT 05454 |
| Practice phone | 802-528-2600 |
| Mailing address | 152 Home Ave, Burlington, VT 05401 |
| Enumerated | May 24, 2010 |
| Last updated | October 23, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Primary Care | 363LP2300X | 101.0066152 (VT) |
| Nurse Practitioner, Family primary | 363LF0000X | 101.0066152 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.