Individual
GEORGE VANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 PINE HAVEN SHORES RD STE 1000-54, SHELBURNE, VT 05482-7703
(802) 307-9998
(352) 353-0910
Mailing address
861 WILLISTON RD STE 8-1001, SOUTH BURLINGTON, VT 05403-5724
(802) 922-7613
(802) 922-7613
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
042.0015611
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042.0015611
VERMONT STATE LICENSE
VT
Enumeration date
05/29/2014
Last updated
04/23/2024
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