Most Relevant Information
Provider Data
NPI Number: | 1003205915 |
Provider Name: | ELIZA W ANTI N.P. |
Entity Type: | Individual |
Taxonomy Code: | 363L00000X |
Specialty: | Nurse Practitioner |
License Number: | 101.0109654 |
Most Important Dates
Enumeration Date: | 01/15/2015 |
Last Updated: | 07/21/2015 |
Provider Practice Location
225 S MAIN ST
BARRE
VT
056414881
Practice Location Phone/Fax
Phone: | 8024793302 |
Fax: | 8022255720 |
Provider Mailing Location
PO BOX 547
ATT: CVMC FINANCE DEPARTMENT
BARRE
VT
056410547
Provider Mailing Phone/Fax
Phone: | 8024793302 |
Fax: | 8022255720 |