NPI 1376839332 · live from the CMS NPI Registry
Shellie Burdick, D.O.
Family Medicine in Pownal, VT. National Provider Identifier 1376839332, active.
NPI record
| NPI | 1376839332 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 7237 Route 7, Pownal, VT 05261 |
| Practice phone | 802-681-2780 |
| Enumerated | June 28, 2011 |
| Last updated | October 20, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | OT014123 (PA) |
| Family Medicine | 207Q00000X | 20A13173 (CA) |
| Family Medicine | 207Q00000X | 293296 (MA) |
| Family Medicine primary | 207Q00000X | 032.0133921 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.