Individual
CAROL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 TIMBER LN, SOUTH BURLINGTON, VT 05403-7205
(802) 847-4714
(802) 847-6333
Mailing address
PO BOX 422, SOUTH HERO, VT 05486-0422
(802) 372-6262
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1010011300
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0NP0991
—
VT
Enumeration date
08/04/2006
Last updated
07/08/2007
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