NPI 1760457964 · live from the CMS NPI Registry
Geneva L. Pedersen, APRN, FNP
Nurse Practitioner, Family in Morrisville, VT. National Provider Identifier 1760457964, active.
NPI record
| NPI | 1760457964 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1126 Laporte Rd, Morrisville, VT 05661 |
| Practice phone | 802-888-2448 |
| Mailing address | 1126 Laporte Rd, Po Box 608, Morrisville, VT 05661 |
| Enumerated | February 21, 2006 |
| Last updated | February 22, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 101.0074886 (VT) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 178714 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.