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JENNIFER APRIL CIVIELLO CPNP NPI 1912076803


NPI Information

NPI: 1912076803
Provider Name: JENNIFER APRIL CIVIELLO, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
331 UPPER PLAIN
BRADFORD, VT
ZIP 05033
Phone: (802) 222-4722
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Jennifer April Civiello, CPNP is a pediatrics nurse practitioner in Bradford, VT. Jennifer April Civiello, CPNP NPI is 1912076803. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

331 UPPER PLAIN
BRADFORD, VT
ZIP 05033
Phone: (802) 222-4722
Fax: (802) 222-4709

The enumeration date for this NPI number is 11/7/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics1010031684VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130344253MEDICAIDNEW HAMPSHIRE
21012431MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.