Healthcare Provider Details

I. General information

NPI: 1366314502
Provider Name (Legal Business Name): CHERYLANNE PATRICIA LINARES MSN, PMH BCRN CARNAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 STRATTON RD STE 1
RUTLAND VT
05701-4892
US

IV. Provider business mailing address

155 VERSHIRE CENTER RD
CHELSEA VT
05038-9029
US

V. Phone/Fax

Practice location:
  • Phone: 802-775-7798
  • Fax: 802-775-7762
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number026.0087360
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: