Individual provider · NPI-1

Brittney Alyssa Accavallo, RN

Nurse Practitioner, Neonatal · Burlington, VT

NPI number1083255459
StatusActive
Last updated in NPPESOct 29, 2019

Details

NPI
1083255459
Entity type
Individual (NPI-1)
Name
Brittney Alyssa Accavallo
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Oct 7, 2019
Last updated
Oct 29, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LN0000X Nurse Practitioner, Neonatal101-0134408VTYes
163W00000X Registered Nurse026.0088443VT

Practice location

111 Colchester Ave
Burlington, VT 05401-1473

Phone 802-847-0000

Mailing address

650 Lansdowne Way Apt 107
Norwood, MA 02062-2918

Phone 802-345-6708

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