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BETH SCHILLER AGNP
Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1396141966
Individual Registrant: BETH SCHILLER AGNP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
150 KENNEDY DR S BURLINGTON, VT 05403-6749 US
Tel: 802-448-9370 Fax: 802-448-1414
Tel: 802-448-9370 Fax: 802-448-1414
Contact information for business:
607 MIDDLE RD ESSEX, NY 12936-2533 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1396141966
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health | VT | 101.0109026 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| AGNP LICENSE | 101.0109026 | VT | 01 |
| RN LICENSE | 665408 | NY | 01 |
