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KAREN GRAVES FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
111 COLCHESTER AVE, MCLURE 1 CARDIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-3734
Mailing address
P.O. BOX 1063, FAHC, BURLINGTON, VT 05402

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
101-0008425
VT
363LA2200X
Adult Health Nurse Practitioner
101-0008425
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0NP1990
VT
Enumeration date
10/20/2006
Last updated
03/07/2011
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