Individual
JACQUELINE KRZANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
140 HOSPITAL DR, SUITE 215, BENNINGTON, VT 05201-5009
(802) 442-4785
(802) 447-3459
Mailing address
140 HOSPITAL DR, SUITE 215, BENNINGTON, VT 05201-5009
(802) 442-4785
(802) 447-3459
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1010031947
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012144
—
VT
Enumeration date
04/03/2006
Last updated
09/14/2011
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