Basic Information
| Provider Information | |||||||||
| NPI: | 1174276067 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAWYER KRAUS | ||||||||
| FirstName: | ELISE | ||||||||
| MiddleName: | KATHLEEN | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 185 GRAFTON RD | ||||||||
| Address2: | |||||||||
| City: | TOWNSHEND | ||||||||
| State: | VT | ||||||||
| PostalCode: | 053538820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8023654331 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 185 GRAFTON RD | ||||||||
| Address2: | |||||||||
| City: | TOWNSHEND | ||||||||
| State: | VT | ||||||||
| PostalCode: | 053538820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6037623303 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2022 | ||||||||
| LastUpdateDate: | 09/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 066132-21 | NH | N | Nursing Service Providers | Registered Nurse | 163W00000X | 026.0111722 | VT | N | Nursing Service Providers | Registered Nurse | 363L00000X | 101.0135267 | VT | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.