Provider Demographics
NPI:1619915568
Name:BUZZI, AMY A (NP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:A
Last Name:BUZZI
Suffix:
Gender:F
Credentials:NP
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 547
Mailing Address - Street 2:ATT: CVMC FINANCE DEPT
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-0547
Mailing Address - Country:US
Mailing Address - Phone:802-371-4700
Mailing Address - Fax:802-371-4491
Practice Address - Street 1:142 WOODRIDGE RD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602-9165
Practice Address - Country:US
Practice Address - Phone:802-371-4700
Practice Address - Fax:802-371-4491
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2020-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN02316363LA2200X, 363LG0600X
VT101.0019055363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTONP0626Medicaid
VTONP0626Medicaid
VTY400114616Medicare PIN