Provider Demographics
NPI:1487418877
Name:BROTHERS, NICOLE R (BA)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:R
Last Name:BROTHERS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:R
Other - Last Name:SORRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:PO BOX 647
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05601-0647
Mailing Address - Country:US
Mailing Address - Phone:802-301-3200
Mailing Address - Fax:802-223-0842
Practice Address - Street 1:34 BARRE ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3510
Practice Address - Country:US
Practice Address - Phone:802-301-3200
Practice Address - Fax:802-223-0842
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker