Individual
CARLENE GLEASON LOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10 COMMONS ST, RUTLAND, VT 05701-4651
(802) 747-3359
Mailing address
10 COMMONS ST, RUTLAND, VT 05701-4651
(802) 747-3359
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
026.0028578
VT
363LF0000X
Family Nurse Practitioner
Primary
101.013.6604
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
VT
Enumeration date
10/31/2022
Last updated
10/03/2023
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