Active NPIIndividual provider

Loretta B Charles, NURSE PRACTITIONER

Nurse Practitioner, Family in Northfield, Vermont

NPI Number1912341306
Practice location
87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663
Fax
802-485-4163
Last updated
August 25, 2015

Loretta B. Charles is a Nurse Practitioner, Family based in Northfield, VT. Loretta B. Charles practices in Northfield, VT and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Loretta B. Charles is 1912341306 and holds a License No. 33 337930 (NY). The current practice location address for Loretta B. Charles is 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663 and can be reached out via phone at 802-485-4161 and via fax at 802-485-4163.

Provider Profile Details

NPI Number
1912341306
Provider Name
Loretta B. Charles
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663
Phone Number
802-485-4161
Fax Number
802-485-4163
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
April 29, 2013
Last Update Date
August 25, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
87 Paine Mountain Drive
Green Mountain Family Practice
Northfield, VT 05663
State
Vermont
Zip
05663
Phone Number
802-485-4161
Fax Number
802-485-4163
Northfield, VT 05663Get directions →

Provider Business Mailing Address Details

Address
Po Box 547
Att: Cvmc Finance Dept
Barre, VT 05641-0547
City
Barre
State
VT
Zip
05641-0547
Phone Number
802-485-4161
Fax Number
802-485-4163

License Information

License Number (1)
33 337930
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
101.00113985
License State (2)
VT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Loretta B Charles, NURSE PRACTITIONER?

The NPI number of Loretta B Charles, NURSE PRACTITIONER is 1912341306. It was assigned on April 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Loretta B Charles, NURSE PRACTITIONER?

Loretta B Charles, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 33 337930.

Where does Loretta B Charles, NURSE PRACTITIONER practice?

The practice location is 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663. The office can be reached at 802-485-4161 (phone) or 802-485-4163 (fax).

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 1912341306 directly on the NPPES registry website.

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