NPI 1124672340 · live from the CMS NPI Registry
Sally J Beayon, FNP-C
Family Medicine in Bomoseen, VT. National Provider Identifier 1124672340, active.
NPI record
| NPI | 1124672340 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 275 Route 30 N, Bomoseen, VT 05732 |
| Practice phone | 802-468-5641 |
| Mailing address | 97 Freeman Hl, Pittsford, VT 05763 |
| Enumerated | July 25, 2019 |
| Last updated | January 30, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Occupational Health | 363LX0106X | 101.0134375 (VT) |
| Family Medicine primary | 207Q00000X | 101.0134375 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.