Individual
MICHELLE CARBONNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
475 UNION ST, NEWPORT, VT 05855-5499
(802) 334-0110
Mailing address
475 UNION ST, NEWPORT, VT 05855-5499
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
026.0034111
VT
163WP2201X
Ambulatory Care Registered Nurse
026.0034111
VT
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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