Healthcare Provider Details

I. General information

NPI: 1497885511
Provider Name (Legal Business Name): ANN TELLO RAMSAY RN L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TOWNE MARKETPLACE SUITE 33
ESSEX JUNCTION VT
05452
US

IV. Provider business mailing address

1 TOWNE MARKETPLACE SUITE 33
ESSEX JUNCTION VT
05452
US

V. Phone/Fax

Practice location:
  • Phone: 802-878-9572
  • Fax: 802-878-9592
Mailing address:
  • Phone: 802-878-9572
  • Fax: 802-878-9592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number0910000141
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: