IndividualActive
Jennifer Civiello, CPNP
NPI 1912076803 · Pediatric Nurse Practitioner · Bradford, VT
Provider details
- NPI number
- 1912076803
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1010031684 (VT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
331 Upper Plain
Bradford, VT 05033
Phone: (802) 222-4722
Fax: (802) 222-4709
Approximate (ZIP-level) locationGet directions
Mailing address
37 Parkhurst St
Lebanon, NH 03766
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.