Individual
ANEA LELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
Mailing address
1315 HOSPITAL DR, PO BOX 905, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
101-0021819
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1088
—
VT
05
—
30010358
—
NH
Enumeration date
08/30/2006
Last updated
12/09/2011
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