Provider Demographics
NPI:1487052593
Name:MORTIER, ANIA (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ANIA
Middle Name:
Last Name:MORTIER
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102A COURT ST # A
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-1455
Mailing Address - Country:US
Mailing Address - Phone:802-382-0849
Mailing Address - Fax:
Practice Address - Street 1:102 A COURT ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753
Practice Address - Country:US
Practice Address - Phone:802-382-0849
Practice Address - Fax:802-382-0849
Is Sole Proprietor?:No
Enumeration Date:2014-12-06
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0109295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily