Provider Demographics
NPI:1447336763
Name:BENOIT, JUNE MARIE (FNP)
Entity type:Individual
Prefix:MS
First Name:JUNE
Middle Name:MARIE
Last Name:BENOIT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HUBBARD PARK DR
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-2138
Mailing Address - Country:US
Mailing Address - Phone:802-223-6474
Mailing Address - Fax:
Practice Address - Street 1:553 N MAIN ST
Practice Address - Street 2:PHWC
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-2501
Practice Address - Country:US
Practice Address - Phone:802-479-1229
Practice Address - Fax:802-479-5444
Is Sole Proprietor?:No
Enumeration Date:2006-10-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VTVT 101-0010741363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily