Kanczuga, Timothy

Kanczuga, Timothy is an individual health care provider with primary practice located at 1 Anna Marsh Lane , Brattleboro VT 05301. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Kanczuga, Timothy can be contacted via phone (802) 258-3700.

Contact Information

Primary practice address
1 Anna Marsh Lane Brattleboro VT 05301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 026.0128223 Vermont
Nursing Service Providers / Registered Nurse 163W00000X 4704311906 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 101.0134267 Vermont

Profile Details

NPI number 1295282598
LBN Legal business name Kanczuga, Timothy
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2016
Last updated Jun 11th, 2019 - about 6 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.

Request for update

Popular Providers