Individual
LENA WASMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1330 EXCHANGE ST STE 201, MIDDLEBURY, VT 05753-4464
(802) 855-2027
(802) 855-2053
Mailing address
1330 EXCHANGE ST STE 201, MIDDLEBURY, VT 05753-4464
(802) 855-2027
(802) 855-2053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0101390
VT
363LF0000X
Family Nurse Practitioner
Primary
101-0107739
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04088579
—
NY
05
—
1024132
—
VT
Enumeration date
10/16/2014
Last updated
10/14/2020
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