Wellformed AI

NPI 1477935716 · live from the CMS NPI Registry

Upper Valley Pediatrics, PLLC

Pediatrics, Adolescent Medicine in Bradford, VT. National Provider Identifier 1477935716, active.

NPI record

NPI1477935716 Type 2 · organization
StatusActive
Primary specialtyPediatrics, Adolescent Medicine 2080A0000X
Practice location331 Upper Pln, Bradford, VT 05033
Practice phone802-222-4722
EnumeratedJune 23, 2015
Last updatedSeptember 25, 2019
Authorized officialRebecca Yukica, D.O./Practice Owner

Taxonomies and licenses

TaxonomyCodeLicense
Pediatrics, Adolescent Medicine primary2080A0000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.