Healthcare Provider Details

I. General information

NPI: 1407857808
Provider Name (Legal Business Name): KAREN TOWLE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 06/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

382 MAIN ST
ENOSBURG FALLS VT
05450
US

IV. Provider business mailing address

739 WHEELER HILL RD
EAST CALAIS VT
05650-8148
US

V. Phone/Fax

Practice location:
  • Phone: 802-933-5831
  • Fax: 802-933-5836
Mailing address:
  • Phone: 802-933-5831
  • Fax: 802-933-5836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1010010738
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: