Provider Demographics
NPI:1538420112
Name:STOWE NATURAL FAMILY WELLNESS, PLLC
Entity type:Organization
Organization Name:STOWE NATURAL FAMILY WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER/ DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBENS
Authorized Official - Suffix:
Authorized Official - Credentials:ND, RN
Authorized Official - Phone:802-253-2340
Mailing Address - Street 1:PO BOX 332
Mailing Address - Street 2:
Mailing Address - City:STOWE
Mailing Address - State:VT
Mailing Address - Zip Code:05672-0332
Mailing Address - Country:US
Mailing Address - Phone:802-253-2340
Mailing Address - Fax:802-253-2239
Practice Address - Street 1:699 S MAIN ST UNIT 1
Practice Address - Street 2:
Practice Address - City:STOWE
Practice Address - State:VT
Practice Address - Zip Code:05672-4668
Practice Address - Country:US
Practice Address - Phone:802-253-2340
Practice Address - Fax:802-253-2239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0090071198175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1018624Medicaid