Individual
CAROLINE TASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
277 BLAIR PARK RD, SUITE 210, WILLISTON, VT 05495-7886
(802) 598-4006
(802) 316-4208
Mailing address
33 HOLLY LN, BURLINGTON, VT 05408-2621
(802) 540-0388
(802) 316-4208
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
101-0016244
VT
363LP0200X
Pediatric Nurse Practitioner
101-0016244
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101-0016244
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ONP0855
—
VT
05
—
ONPO855
—
VT
Enumeration date
07/04/2006
Last updated
10/04/2013
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