Individual
MS. CLODAGH COGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
368 DORSET ST, SUITE 1, SOUTH BURLINGTON, VT 05403-6236
(802) 860-1441
Mailing address
368 DORSET ST, SUITE 1, SOUTH BURLINGTON, VT 05403-6236
(802) 860-1441
(802) 860-4646
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1010018859
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500016102
RAIL ROAD MEDICARE
VT
05
—
ONP1034
—
VT
Enumeration date
05/15/2006
Last updated
08/18/2025
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