NPI 1275614653 · live from the CMS NPI Registry
Amy Marie Gjerde, M.D.
Anesthesiology in Rutland, VT. National Provider Identifier 1275614653, active.
NPI record
| NPI | 1275614653 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 160 Allen Street, Rutland, VT 05701 |
| Practice phone | 802-775-7111 |
| Mailing address | P.O. Box 452317, Sunrise, FL 33345 |
| Enumerated | October 18, 2006 |
| Last updated | October 20, 2008 |
| Sole proprietor | Yes |
| Other names | Amy Busch |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 042 011614 (VT) |
| Anesthesiology primary | 207L00000X | RT 1325 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.