NPI 1619207396 · live from the CMS NPI Registry
David Bruce Nicol, PNP-BC, APRN
Nurse Practitioner, Pediatrics in Bennington, VT. National Provider Identifier 1619207396, active.
NPI record
| NPI | 1619207396 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 216 Elm St, Bennington, VT 05201 |
| Practice phone | 802-442-3940 |
| Enumerated | January 2, 2010 |
| Last updated | January 2, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 101.0030040 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.