Dr SALLY KATHRYN MATHIESON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2009 from University Of Vermont College Of Medicine.
NORTHEAST KINGDOM HUMAN SERVICES INC
2225 PORTLAND ST
SAINT JOHNSBURY
VT
058198635
Tel: 8027483181
| Npi | 1275840712 |
| Pac Id | 2860616745 |
| Professional Enrollment Id | I20140616001528 |
| Last Name | MATHIESON |
| First Name | SALLY |
| Middle Name | KATHRYN |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | NORTHEAST KINGDOM HUMAN SERVICES INC |
| Group Practice Pac Id | 0941276703 |
| Number Of Group Practice Members | 10 |
| Line 1 Street Address | 2225 PORTLAND ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SAINT JOHNSBURY |
| State | VT |
| Zip Code | 058198635 |
| Phone Number | 8027483181 |
| Hospital Affiliation Ccn 1 | 471303 |
| Hospital Affiliation Lbn 1 | NORTHEASTERN VERMONT REGIONAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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