Doctor Name: | LEESA L TAFT |
NPI Number: | 1881680296 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 1010028022 |
Business Practice Address: | 289 County Rd Windsor, VT - 050899000 |
Business Phone Number: | 8026747300 |
Business Fax Number: | 8026747314 |
Mailing Address: | 289 County Rd, WINDSOR |
State: | VT |
Postal Code: | 050899000 |
Phone Number: | 8026747300 |
Fax Number: | 8026747314 |
NPI Enumeration Date: | 09/21/2005 |
NPI Last Update Date: | 04/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1010028022 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |