Provider Demographics
NPI:1366532061
Name:NEPVEU, MD, JUDITH (MD)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:NEPVEU, MD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O.B. 126
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05661-0126
Mailing Address - Country:US
Mailing Address - Phone:802-888-5626
Mailing Address - Fax:
Practice Address - Street 1:201 CONGRESS ST.
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:VT
Practice Address - Zip Code:05661-0126
Practice Address - Country:US
Practice Address - Phone:802-888-5626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-00025442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT00004323OtherBCBS
VT1039021OtherCIGNA
VT20V105OtherMVP
VT260052162OtherRAILROAD MEDICARE
VT0004323Medicaid
VT00004323OtherBCBS
VT1039021OtherCIGNA