Individual
MARY JANE OHLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
28 E STATE ST, MONTPELIER, VT 05602-3087
(802) 229-4429
Mailing address
28 E STATE ST, MONTPELIER, VT 05602-3087
(802) 229-4429
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101-0010258
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007704
—
VT
Enumeration date
11/07/2006
Last updated
07/09/2010
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