Bird, Katherine Ellen

Bird, Katherine Ellen is an individual health care provider with primary practice located at 111 Colchester Ave Patrick 204, Burlington VT 05401-1473. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Bird, Katherine Ellen can be contacted via phone (802) 847-6177.

Contact Information

Primary practice address
111 Colchester Ave Patrick 204 Burlington VT 05401-1473
Phone: (802) 847-6177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 101-0026002 Vermont

Profile Details

NPI number 1700896677
LBN Legal business name Bird, Katherine Ellen
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700896677 NPPES
Vermont MEDICAID 0NP2924

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