Loretta B Charles, NURSE PRACTITIONER | |
87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663 | |
(802) 485-4161 | |
(802) 485-4163 |
Full Name | Loretta B Charles |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 87 Paine Mountain Drive, Northfield, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912341306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 33 337930 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 101.00113985 (Vermont) | Primary |
Entity Name | Central Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831374362 PECOS PAC ID: 9335138817 Enrollment ID: O20040510001034 |
Entity Name | Central Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023028784 PECOS PAC ID: 9335138817 Enrollment ID: O20051220000393 |
Mailing Address | Practice Location Address |
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Loretta B Charles, NURSE PRACTITIONER Po Box 547, Att: Cvmc Finance Dept, Barre, VT 05641-0547 Ph: (802) 485-4161 | Loretta B Charles, NURSE PRACTITIONER 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663 Ph: (802) 485-4161 |
Debra Maloney-evans, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663 Phone: 802-485-4161 Fax: 802-485-4163 | |
Nancy Peters Sullivan, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 87 Paine Mountain Dr, Northfield, VT 05663 Phone: 802-485-4161 Fax: 802-485-4163 | |
Carolyn Simmons Gaeckle, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 454 Freeman Rd, Northfield, VT 05663 Phone: 302-332-6021 |