Individual
MRS. KAREN M PETRUNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
38 ROUTE 11, LONDONDERRY, VT 05148-9555
(802) 824-6901
Mailing address
2141 TWENTY MILE STREAM RD, PROCTORSVILLE, VT 05153-9716
(203) 819-2121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001905
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004254314
—
CT
01
—
1143111
USA
CT
01
—
180092
WELLCARE
CT
01
—
22-77593
AMERICHOICE
CT
01
—
3V5927
HEALTHNET
CT
01
—
400001905CT01
ANTHEM BLUE CROSS
CT
01
—
740168
CONNECTICARE
CT
01
—
7681206
AETNA
CT
01
—
P4231031
OXFORD
CT
01
—
PENDING
RR MEDICARE
CT
Enumeration date
07/28/2006
Last updated
11/30/2022
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