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Individual

CEANA DIA CHAKRAVARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2370
Mailing address
181 WINTERBERRY LN UNIT 308, BURLINGTON, VT 05401-5924
(919) 282-4336

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
101-0136356
VT
363LN0000X
Neonatal Nurse Practitioner
TBD
VT

Other

Enumeration date
05/31/2023
Last updated
07/20/2023
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