Provider Demographics
NPI:1437770211
Name:SALTER, KRISTEN ORVIS (RN BSN)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:ORVIS
Last Name:SALTER
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2938 BRISTOL RD
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:VT
Mailing Address - Zip Code:05443-9234
Mailing Address - Country:US
Mailing Address - Phone:802-453-6003
Mailing Address - Fax:
Practice Address - Street 1:1218 VT ROUTE 17 E
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:VT
Practice Address - Zip Code:05491-8621
Practice Address - Country:US
Practice Address - Phone:802-759-2067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-03
Last Update Date:2020-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026.0022279163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse