Loretta B. Charles, NURSE PRACTITIONER

NPI #1912341306 in Northfield, Vermont

Provider Information

NPI Number
1912341306
Entity Type
Individual
Name
Loretta B. Charles, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NURSE PRACTITIONER
Enumeration Date
Apr 29, 2013
Last Updated
Aug 25, 2015

Practice Location

Address
87 PAINE MOUNTAIN DRIVE
Address 2
GREEN MOUNTAIN FAMILY PRACTICE
State
Vermont
ZIP Code
05663
Phone
(802) 485-4161

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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