NPI 1174741912

Lynne L Colville, APRN

Practitioner Psychiatric/Mental Health Nurse Practitioner Bomoseen, VT

Practice location

Address: 275 Route 30 N, Bomoseen, VT 05732-9647
Phone: (802) 468-5641
Fax: (802) 468-2923

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 101-0011925 (VT)

Other Nurse Practitioner providers in Vermont →

Registry record

NPI: 1174741912
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2007
Record last updated: 30 Aug 2012

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.