| Doctor Name: | CAROL MOORE-WHITNEY |
| NPI Number: | 1225493232 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, IBCLC, BSN, MST |
| License Number: | 10725740 |
| Business Practice Address: | 1315 Hospital Dr Northeastern Vermont Regional Hospital St. Johnsbury, VT - 058199962 |
| Business Phone Number: | 8027487333 |
| Business Fax Number: | |
| Mailing Address: | 1315 Hospital Dr, Nvrh, ST. JOHNSBURY |
| State: | VT |
| Postal Code: | 05819 |
| Phone Number: | 8027487333 |
| Fax Number: | |
| NPI Enumeration Date: | 12/17/2015 |
| NPI Last Update Date: | 12/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | 10725740 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |