Provider Demographics
NPI:1447877311
Name:TOMLINSON, PAGE (NP-C)
Entity type:Individual
Prefix:
First Name:PAGE
Middle Name:
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:VT
Mailing Address - Zip Code:05444-0102
Mailing Address - Country:US
Mailing Address - Phone:802-644-5114
Mailing Address - Fax:
Practice Address - Street 1:272 NO MAIN ST SUITE 101
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:VT
Practice Address - Zip Code:05444-0102
Practice Address - Country:US
Practice Address - Phone:802-644-5114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0134576363LF0000X
COAPN.0100286-C-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily