Caroline Tassey PLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Burlington, VT

NPI 1619214574 · NPPES record last updated Jun 28, 2015

Key facts

NPI
1619214574
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
101-0016244 (VT)
Legal business name
CAROLINE TASSEY PLC
Practice address
1205 North Ave
Burlington, VT 05408-2804
Phone
(802) 489-5665
Fax
(802) 419-5300
NPI assigned
Jan 12, 2013
Organization subpart
No

Authorized official

Name
Ms. Caroline Tassey, NP
Title
Pmhnp
Phone
(802) 318-1907

National Provider Directory

Locations

277 Blair Park Rd
Ste 210
Williston, VT 05495
Phone (802) 264-5333

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP0808X 101-0016244 VT Yes

Addresses

Primary practice location

1205 North Ave
Burlington, VT 05408-2804

Mailing address

33 Holly LN
Burlington, VT 05408-2621
Phone (802) 598-4006

Other identifiers

IdentifierTypeStateIssuer
ONP0855MedicaidVT

Other providers in Burlington, VT

All providers in Burlington, VT · Psychiatric/Mental Health Nurse Practitioner in Vermont

Sources for this page

Verify at the official NPI Registry.