Provider Demographics
NPI:1649070905
Name:VTNPNV PLLC
Entity type:Organization
Organization Name:VTNPNV PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:VALCOUR
Authorized Official - Suffix:
Authorized Official - Credentials:DNP PMHNP-BC FNP-BC
Authorized Official - Phone:802-793-0361
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:CRAFTSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05826-0092
Mailing Address - Country:US
Mailing Address - Phone:802-793-0361
Mailing Address - Fax:802-793-0361
Practice Address - Street 1:73 MAIN ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-2932
Practice Address - Country:US
Practice Address - Phone:802-793-0361
Practice Address - Fax:802-793-0361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty