Healthcare Provider Details

I. General information

NPI: 1861298994
Provider Name (Legal Business Name): KATHRYN KRASNOW BSN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN WALKER

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 WESTMINSTER TERRACE
BELLOWS FALLS VT
05101
US

IV. Provider business mailing address

390 RIVER STREET
SPRINGFIELD VT
05156
US

V. Phone/Fax

Practice location:
  • Phone: 802-732-8343
  • Fax: 802-886-4520
Mailing address:
  • Phone: 802-886-4500
  • Fax: 802-886-4520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number026.0099801
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: