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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700896677 | NPPES |
| Vermont | MEDICAID | 0NP2924 |
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