Individual
CAROLYN LOUISE TAYLOR-OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17 BELMONT AVE, BRATTLEBORO, VT 05301-7601
(802) 442-8164
Mailing address
2124 PACKER CORNERS RD, GUILFORD, VT 05301
(802) 254-9255
(802) 254-9255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42-0007969
VT
207R00000X
Internal Medicine Physician
G42258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001718
BLUE CROSS BLUE SHIELD
VT
05
—
0009474
—
VT
01
—
5517787
CIGNA
—
01
—
79667
MOHAWK VALLEY HEALTH PLAN
—
Enumeration date
06/15/2006
Last updated
04/18/2012
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