Provider Demographics
NPI:1225446230
Name:GOYETTE, KATHERINE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:GOYETTE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05033-0338
Mailing Address - Country:US
Mailing Address - Phone:802-222-3026
Mailing Address - Fax:802-990-2722
Practice Address - Street 1:720 VILLAGE ROAD
Practice Address - Street 2:
Practice Address - City:EAST CORINTH
Practice Address - State:VT
Practice Address - Zip Code:05040-9783
Practice Address - Country:US
Practice Address - Phone:802-439-5321
Practice Address - Fax:866-244-5145
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0105631363LP2300X, 363LF0000X
MARN2349700363LF0000X
MECNP211023363LF0000X
NH070735-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care