# CAROLINE TASSEY PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619214574
- **Authorized official:** MS. CAROLINE TASSEY NP (PMHNP)
- **Authorized official phone:** (802) 318-1907

## Contact information

- **Practice address:** 1205 NORTH AVE, BURLINGTON, VT 05408-2804
- **Practice address phone:** (802) 489-5665
- **Practice address fax:** (802) 419-5300
- **Mailing address:** 33 HOLLY LN, BURLINGTON, VT 05408-2621
- **Mailing address phone:** (802) 598-4006
- **Mailing address fax:** (802) 316-4208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 101-0016244 | VT | Yes |

## Other

- **Enumeration date:** 01/12/2013
- **Last updated:** 06/28/2015
