Provider / Organization | NPI | Date Certified |
---|---|---|
CRYSTAL DAWN LEBOEUF | 1033645726 | 2017-05-02 |
Crystal Dawn Leboeuf is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1033645726. Registration indicates Crystal Dawn Leboeuf is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) (Nursing Service Providers, Registered Nurse) (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) Access to Mental Health/Behavioral Health Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Crystal Dawn Leboeuf PMHNP-BC |
Other Provider Name | Crystal Dawn Gagnon |
Practice Office Address | 374 EMERSON FALLS RD STE 2 SAINT JOHNSBURY, VT US |
Practice Office Telephone | 8022558788 |
Practice Office Fax | 8022000493 |
Mailing Address | 374 EMERSON FALLS RD STE 2 SAINT JOHNSBURY, VT 058198083 US |
Business Telephone | 8022558788 |
Address | City / State | Phone / Fax |
---|---|---|
33 Oak St | Newport, VT 058555329 | 8022558788 / 8022000493 |
Code | Practice | License No State |
---|---|---|
163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 073848-21
NH |
163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 026.0122541
VT |
363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 101.0135005
VT |