Individual
CAROLYNN ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 PARK ST, SPRINGFIELD, VT 05156-3032
(802) 885-4701
(802) 885-5440
Mailing address
693 LOVERS LN, CHESTER, VT 05143-9236
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1010013152
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4000028
—
VT
Enumeration date
05/17/2006
Last updated
10/26/2012
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