Individual
LARRAINE D CHRYSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
(802) 747-6260
Mailing address
299 GREENDALE RD, BELMONT, VT 05730-9724
(802) 236-1772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101-0013910
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ONP3249
—
VT
Enumeration date
12/06/2006
Last updated
07/08/2007
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