Individual
CAROL L BUCK-ROLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 S MAIN ST, WATERBURY, VT 05676-1556
(802) 244-5651
(802) 244-5163
Mailing address
307 VILLAGE WOODS, WAITSFIELD, VT 05673-6043
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1010015366
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4000011
—
VT
Enumeration date
05/17/2006
Last updated
07/09/2007
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