Provider Demographics
NPI:1164533006
Name:CHASSE, LINDA (MS, ANP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:CHASSE
Suffix:
Gender:F
Credentials:MS, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 MEDICAL VILLAGE DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855-9835
Mailing Address - Country:US
Mailing Address - Phone:802-334-4120
Mailing Address - Fax:802-334-4123
Practice Address - Street 1:81 MEDICAL VILLAGE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-9835
Practice Address - Country:US
Practice Address - Phone:802-334-4120
Practice Address - Fax:802-334-4123
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1010021614363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT088603OtherMVP
VT0NP0992Medicaid
VT8000701OtherLADIES FIRST
VT00038269OtherBLUE SHIELD
VT8000701OtherLADIES FIRST
VTNP0992Medicare ID - Type Unspecified