person
Carol Stack, APRN
Psychiatric/Mental Health Clinical Nurse Specialist in Brattleboro, Vermont
NPI 1164526703

Carol Stack is a Psychiatric/Mental Health Clinical Nurse Specialist based in Brattleboro, VT and is specialized in Psychiatric/Mental Health. Carol Stack practices in Brattleboro, VT and has the professional credentials of APRN. The NPI Number for Carol Stack is 1164526703 and holds a License No. 101-00112255 (Vermont).

The current practice location address for Carol Stack is Anna Marsh Lane, Brattleboro, VT and can be reached out via phone at 802-257-7785.

Location: Anna Marsh Lane, Brattleboro, VT, 05302
person
Provider Profile Details
NPI Number
1164526703
Provider Name
Carol Stack
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
Anna Marsh Lane, Brattleboro, VT, 05302
Phone Number
802-257-7785
Fax Number
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101-0011225 01 VT LICENSE
institution
Provider Business Practice Location Address Details
Address
Anna Marsh Lane
City
State
Zip
05302
Phone Number
802-257-7785
Fax Number
person
Provider Business Mailing Address Details
Address
Anna Marsh Lane
City
State
Zip
05302
Phone Number
802-257-7785
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
101-00112255 (Vermont)
Definition
Definition to come...
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