Individual provider · Type 1 NPI

Timothy Kanczuga, FNP-BC

Nurse Practitioner · Brattleboro, VT

NPI number 1295282598 Active

Practice location

1 Anna Marsh Lane
Brattleboro, VT 05301

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X026.0128223 (VT)
Registered Nurse 163W00000X4704311906 (MI)
Nurse Practitioner Primary 363L00000X101.0134267 (VT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1295282598

Timothy Kanczuga, FNP-BC's National Provider Identifier is 1295282598, issued on Sep 2, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Brattleboro, VT. The record was last updated on Jun 11, 2019.