Loretta B. Charles, NURSE PRACTITIONER Valid NPI
Individual provider · Family Nurse Practitioner · Northfield, VT
- NPI
- 1912341306
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 101.00113985 (VT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-04-29
- Last updated
- 2015-08-25
Practice location
87 Paine Mountain Drive, Green Mountain Family Practice
Northfield, VT 05663
(802) 485-4161