Provider Demographics
NPI:1437176393
Name:VANHOLLEBEKE, LUCY (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LUCY
Middle Name:
Last Name:VANHOLLEBEKE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ESSEX WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-3425
Mailing Address - Country:US
Mailing Address - Phone:802-872-7100
Mailing Address - Fax:
Practice Address - Street 1:8 ESSEX WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3425
Practice Address - Country:US
Practice Address - Phone:802-872-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1010013305363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTONP1813Medicaid
VT500023907OtherRAIL ROAD MEDICARE
VT500023907OtherRAIL ROAD MEDICARE
VTTX2977Medicare PIN