NPI 1912341306 · live from the CMS NPI Registry
Loretta B. Charles, Nurse Practitioner
Nurse Practitioner, Family in Northfield, VT. National Provider Identifier 1912341306, active.
NPI record
| NPI | 1912341306 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663 |
| Practice phone | 802-485-4161 |
| Mailing address | Po Box 547, Att: Cvmc Finance Dept, Barre, VT 05641 |
| Enumerated | April 29, 2013 |
| Last updated | August 25, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | 33 337930 (NY) |
| Nurse Practitioner, Family primary | 363LF0000X | 101.00113985 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.