Coghlan, Clodagh

Coghlan, Clodagh is an individual health care provider with primary practice located at 368 Dorset St Suite 1, South Burlington VT 05403-6236. 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. Coghlan, Clodagh can be contacted via phone (802) 860-1441.

Contact Information

Primary practice address
368 Dorset St Suite 1 South Burlington VT 05403-6236
Phone: (802) 860-1441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1010018859 Vermont

Profile Details

NPI number 1417908286
LBN Legal business name Coghlan, Clodagh
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 13th, 2010 - about 15 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 1417908286 NPPES
Vermont MEDICAID ONP1034
Vermont Other 500016102

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