NPI 1194379669 · live from the CMS NPI Registry
Nicole Marie Cloutier
Nurse Practitioner, Neonatal in Burlington, VT. National Provider Identifier 1194379669, active.
NPI record
| NPI | 1194379669 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Neonatal 363LN0000X |
| Practice location | 111 Colchester Ave, Burlington, VT 05401 |
| Practice phone | 802-847-2370 |
| Mailing address | 393 Church Rd, Colchester, VT 05401 |
| Enumerated | August 1, 2019 |
| Last updated | August 11, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 026.0089278 (VT) |
| Nurse Practitioner, Neonatal primary | 363LN0000X | 101.0134384 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.