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Contact Information

GENEVA L PEDERSEN, APRN, FNP
1126 LAPORTE RD
MORRISVILLE, VT05661
 Phone: 802-888-2448
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GENEVA L PEDERSEN · (Female)

NPI Number 1760457964
Status Active
Credentials APRN, FNP
Entity Individual
Enumeration date 02/21/2006
Last updated 02/22/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 178714
  • VT License # 101.0074886
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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