Individual
JAMES S GREENLEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN,CNS
Contact information
Practice address
82 E VIEW LANE STE 3, FAMILY PSYCHIATRY ASSOCIATES, BERLIN, VT 05602-9516
(802) 225-1266
(802) 479-3548
Mailing address
PO BOX 547, CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT, BARRE, VT 05641-0547
(802) 225-1266
(802) 479-3548
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
101-0020287
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
101.0020287
VT
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
101.0020287
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ORE3606
—
VT
Enumeration date
06/09/2006
Last updated
11/07/2014
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