Chrystal, Larraine D

Chrystal, Larraine D is an individual health care provider with primary practice located at 160 Allen St , Rutland VT 05701-4560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Chrystal, Larraine D can be contacted via phone (802) 775-7111.

Contact Information

Primary practice address
160 Allen St Rutland VT 05701-4560
Phone: (802) 775-7111
Fax: (802) 747-6260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 101-0013910 Vermont

Profile Details

NPI number 1285793547
LBN Legal business name Chrystal, Larraine D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285793547 NPPES
Vermont MEDICAID ONP3249

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