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Individual
CAROLINE TASSEY
Active
Individual
CAROLINE TASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
101-0016244
VT
363LP0200X
Pediatric Nurse Practitioner
101-0016244
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101-0016244
VT
Other
Enumeration date
07/04/2006
Last updated
10/04/2013
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