Carol L Buck-Rolland, NP
Individual provider Active NPI Women's Health Nurse Practitioner · Waterbury, VT
NPI 1114970837 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1114970837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 1010015366 (VT)
- Practice address
- 55 S Main St
Waterbury, VT 05676-1556 - Phone
- (802) 244-5651
- Fax
- (802) 244-5163
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010015366 | VT | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Northern New England | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 1010015366 | VT | Yes |
Addresses
Primary practice location
55 S Main St
Waterbury, VT 05676-1556
Mailing address
307 Village Woods
Waitsfield, VT 05673-6043
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4000011 | Medicaid | VT |
Other providers in Waterbury, VT
- Ryan Beaudoin
- Louis Bevacqui
- Christine Cameron Blake
- Merton R. Boardman Sr.
- Brain Injury Alliance of Vermont
- Richard Andrew Burgoyne
- Katharina Cahill
- Craig A Cammann
- Laurie A. Carcieri
- Alison Chick
All providers in Waterbury, VT · Women's Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.