Nanette Bonano Carpenter, APRN

Individual provider Active NPI Family Nurse Practitioner · Marlboro, VT

NPI 1609294263 · NPPES record last updated Apr 1, 2014

Key facts

NPI
1609294263
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
101.0101572 (VT)
Practice address
2582 South Rd
Marlboro, VT 05344-9801
Phone
(802) 258-9335
Fax
(802) 251-7604
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Hospital Inc Past Accepting new patients
Convenient Medical Care Past
since Jan 6, 2001
Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19910/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101.0101572 VT Yes

Addresses

Primary practice location

2582 South Rd
Marlboro, VT 05344-9801

Mailing address

2582 South Rd
Marlboro, VT 05344-9801
Phone (802) 258-9335

Other providers in Marlboro, VT

All providers in Marlboro, VT · Family Nurse Practitioner in Vermont

Sources for this page

Verify at the official NPI Registry.