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Contact Information

ALICE C PEZZULICH, FNP
9 CHURCH ST.
ARLINGTON, VT05250
 Phone: 802-375-6566
 Fax: 802-375-6828
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ALICE C PEZZULICH · (Female)

NPI # 1053307918
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 09/26/2005
Last updated 06/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 0027640
  • VT Medicaid 0473830
  • VT Medicaid ONP4075
  • Other GONP4075 CHAMPUS/TRICARE
  • Other 414900 CIGNA
  • Other 696890 MVP HEALTHPLAN
  • Other GONP4075 PALMETTO GBA
  • VT Other 00059357 VERMONT BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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