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Contact Information

AGNES MIKIJANIEC, ARNP
17 BELMONT AVE
ATT'N: MARILYN BOUDREAU
BRATTLEBORO, VT05301-6613
 Phone: 802-257-8382
 Fax: 802-251-8466
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AGNES MIKIJANIEC · (Female)

NPI # 1093741571
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • VT License # 026-0029155
  • VT Medicaid ONP3598
  • VT Other 68614 BLUE SHIELD OF VT
Hospital affiliation(s)
  • BRATTLEBORO MEMORIAL HOSPITAL - (Acute Care)
    17 BELMONT AVE
    BRATTLEBORO, VT 05301
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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