Individual
LORETTA B. CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
87 PAINE MOUNTAIN DRIVE, GREEN MOUNTAIN FAMILY PRACTICE, NORTHFIELD, VT 05663
(802) 485-4161
(802) 485-4163
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 485-4161
(802) 485-4163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.00113985
VT
363LF0000X
Family Nurse Practitioner
33 337930
NY
Other
Enumeration date
04/29/2013
Last updated
08/25/2015
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