Provider Demographics
NPI:1033446216
Name:LOSKUTOFF, ERIN ANNE (RN, APRN)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:ANNE
Last Name:LOSKUTOFF
Suffix:
Gender:F
Credentials:RN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 VILLAGE ROAD
Mailing Address - Street 2:
Mailing Address - City:EAST CORINTH
Mailing Address - State:VT
Mailing Address - Zip Code:05040
Mailing Address - Country:US
Mailing Address - Phone:802-439-5321
Mailing Address - Fax:802-439-6783
Practice Address - Street 1:720 VILLAGE ROAD
Practice Address - Street 2:
Practice Address - City:EAST CORINTH
Practice Address - State:VT
Practice Address - Zip Code:05040
Practice Address - Country:US
Practice Address - Phone:802-439-5321
Practice Address - Fax:802-439-6783
Is Sole Proprietor?:No
Enumeration Date:2009-11-10
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0117769363LA2200X, 363LG0600X
CONP-10169363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT101.0117769OtherVERMONT BOARD OF NURSING - APRN
VT026.0052973OtherVERMONT BOARD OF NURSING - RN