Provider Demographics
NPI:1902092141
Name:MARCHETTI, COURTNEY P (MSN)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:P
Last Name:MARCHETTI
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 BILLINGS FARM RD STE 2E-5
Mailing Address - Street 2:
Mailing Address - City:WHITE RIVER JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05001-5401
Mailing Address - Country:US
Mailing Address - Phone:802-491-3220
Mailing Address - Fax:802-317-1724
Practice Address - Street 1:205 BILLINGS FARM RD STE 2E-5
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-5401
Practice Address - Country:US
Practice Address - Phone:802-491-3220
Practice Address - Fax:802-317-1724
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1010106045163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent