Provider Demographics
NPI:1073618401
Name:CENTER FOR HEALTH AND WELLBEING
Entity Type:Organization
Organization Name:CENTER FOR HEALTH AND WELLBEING
Other - Org Name:UNIVERSITY OF VERMONT
Other - Org Type:Other Name
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:TRUMBULL
Authorized Official - Last Name:STANDISH
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:802-656-5464
Mailing Address - Street 1:425 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-3308
Mailing Address - Country:US
Mailing Address - Phone:802-656-3350
Mailing Address - Fax:802-656-8178
Practice Address - Street 1:425 PEARL ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-3308
Practice Address - Country:US
Practice Address - Phone:802-656-3350
Practice Address - Fax:802-656-8178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101-0017609261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health