NPI 1609229707 · live from the CMS NPI Registry
Grace Altebrando, R.N.
Nurse Practitioner, Family in Berlin, VT. National Provider Identifier 1609229707, active.
NPI record
| NPI | 1609229707 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 130 Fisher Rd Ste 3-1, Berlin, VT 05602 |
| Practice phone | 802-225-7000 |
| Mailing address | 11 Mile Rd, Suffern, NY 10901 |
| Enumerated | July 13, 2016 |
| Last updated | July 17, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 702951 (NY) |
| Nurse Practitioner, Family primary | 363LF0000X | 101-0134266 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.