Provider Demographics
NPI:1407857808
Name:TOWLE, KAREN (NP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:TOWLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 WHEELER HILL RD
Mailing Address - Street 2:
Mailing Address - City:EAST CALAIS
Mailing Address - State:VT
Mailing Address - Zip Code:05650-8148
Mailing Address - Country:US
Mailing Address - Phone:802-933-5831
Mailing Address - Fax:802-933-5836
Practice Address - Street 1:382 MAIN ST
Practice Address - Street 2:
Practice Address - City:ENOSBURG FALLS
Practice Address - State:VT
Practice Address - Zip Code:05450
Practice Address - Country:US
Practice Address - Phone:802-933-5831
Practice Address - Fax:802-933-5836
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1010010738363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0NP2905Medicaid
VT00049899OtherBCBS
VTNP2905Medicare ID - Type Unspecified
VTVN0879Medicare PIN
VTP20024Medicare UPIN