Colville, Lynne L
Colville, Lynne L is an individual health care provider with primary practice located at 275 Route 30 N , Bomoseen VT 05732-9647. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Colville, Lynne L can be contacted via phone (802) 468-5641.Contact Information
Primary practice address
275 Route 30 N
Bomoseen VT 05732-9647
Phone: (802) 468-5641
Fax: (802) 468-2923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 101-0011925 | Vermont |
Profile Details
| NPI number | 1174741912 |
|---|---|
| LBN Legal business name | Colville, Lynne L |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Aug 30th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174741912 | NPPES |
| Vermont | MEDICAID | 0NS2006 |
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