Close, Elissa

Close, Elissa is an individual health care provider with primary practice located at 790 College Pkwy , Colchester VT 05446-3007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Close, Elissa can be contacted via phone (802) 847-7572.

Contact Information

Primary practice address
790 College Pkwy Colchester VT 05446-3007
Phone: (802) 847-7572
Fax: (802) 847-7559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 101-0012139 Vermont

Profile Details

NPI number 1740208438
LBN Legal business name Close, Elissa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740208438 NPPES
Vermont MEDICAID 1011444

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