Individual
MS. KATELYN MARY LUCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
21 BELMONT AVE, BRATTLEBORO, VT 05301-7110
(802) 251-9965
(802) 251-9972
Mailing address
115 FROST ST, BRATTLEBORO, VT 05301-6530
(802) 681-8303
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
101.0125383
VT
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
11/08/2016
Last updated
12/07/2020
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