NPI 1205369832

Lake Superior Nurse Anesthesia

Organisation Certified Registered Nurse Anesthetist Colchester, VT

Practice location

Address: 105 Westview Rd STE 302, Colchester, VT 05446-8025
Phone: (802) 497-3371
Mailing address: PO Box 281, Underhill, VT 05489-0281

Authorised official

Name: Nicole Stone
Title: Owner
Phone: (802) 989-2208

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Other Nurse Anesthetist, Certified Registered providers in Vermont →

Registry record

NPI: 1205369832
Entity type: Organization
NPI issued: 11 Apr 2017
Record last updated: 20 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.