Unknown Individual – Women's Health Nurse Practitioner, NPI 1124093646

Unknown Individual is a healthcare provider. based in Waterbury, Vermont. specializing in Women's Health Nurse Practitioner. They hold a License No. RN114198 (AZ). The NPI Number for Unknown Individual is 1124093646

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124093646
Phone
(480) 296-9779
Address
331 MORSE RD
Deactivation Date
19 June 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 331 MORSE RD

    WATERBURY, VT 05676

    Phone: (480) 296-9779

    Type: Location

  • 331, Morse Road, Duxbury, Washington County, Vermont, 05676, United States

    DUXBURY, VT 05676

    Phone: (802) 882-8448

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05676)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1124093646 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Women's Health Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Waterbury, Vermont?
If you are local to Waterbury, Vermont, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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