Active NPIIndividual provider

Timothy Kanczuga, FNP-BC

Nurse Practitioner in Brattleboro, Vermont

NPI Number1295282598
Practice location
1 Anna Marsh Lane, Brattleboro, VT 05301
Fax
—
Last updated
June 11, 2019

Timothy Kanczuga is a Nurse Practitioner based in Brattleboro, VT. Timothy Kanczuga practices in Brattleboro, VT and has the professional credentials of FNP-BC. The NPI Number for Timothy Kanczuga is 1295282598 and holds a License No. 026.0128223 (VT). The current practice location address for Timothy Kanczuga is 1 Anna Marsh Lane, Brattleboro, VT 05301 and can be reached out via phone at 802-258-3700.

Provider Profile Details

NPI Number
1295282598
Provider Name
Timothy Kanczuga
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
1 Anna Marsh Lane, Brattleboro, VT 05301
Phone Number
802-258-3700
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
September 2, 2016
Last Update Date
June 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Anna Marsh Lane
Brattleboro, VT 05301
State
Vermont
Zip
05301
Phone Number
802-258-3700
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
1 Anna Marsh Lane
Brattleboro, VT 05301
City
Brattleboro
State
VT
Zip
05301
Phone Number
802-257-7785

License Information

License Number (1)
026.0128223
License State (1)
VT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
4704311906
License State (2)
MI
Taxonomy (2)
Registered Nurse · 163W00000X
License Number (3)
101.0134267
License State (3)
VT
Taxonomy (3)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Timothy Kanczuga, FNP-BC?

The NPI number of Timothy Kanczuga, FNP-BC is 1295282598. It was assigned on September 2, 2016 and is currently active in the NPPES registry.

What is the specialty of Timothy Kanczuga, FNP-BC?

Timothy Kanczuga, FNP-BC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in VT under license number 026.0128223.

Where does Timothy Kanczuga, FNP-BC practice?

The practice location is 1 Anna Marsh Lane, Brattleboro, VT 05301. The office can be reached at 802-258-3700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295282598 directly on the NPPES registry website.

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