Crystal Dawn Leboeuf
Nurse Practitioner - Psychiatric/Mental Health
4628 Main St S
Newbury
, Vermont 05051-9712
Crystal Dawn Leboeuf
Nurse Practitioner - Psychiatric/Mental Health
4628 Main St S
Newbury
, Vermont 05051-9712
(802) 222-3080
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Crystal Dawn Leboeuf
- 4628 Main St S
- Newbury, VT
- Zip : 05051-9712
- Phone : (802) 222-3080
Second Address
- Crystal Dawn Leboeuf
- 4628 Main St S
- Newbury, VT
- Zip : 05051-9712
- Phone : (802) 222-3080
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Is Crystal Dawn Leboeuf a sole practitioner?
Is Crystal Dawn Leboeuf accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 101.0135005 | VT |
National Provider Identifier
| NPI | 1033645726 |
|---|---|
| Provider Name | Crystal Dawn Leboeuf |
| First Address | Newbury, VT 05051-9712 |
| Second Address | Newbury, VT 05051-9712 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2017 |
| Last Update Date | 04/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.