Provider Demographics
NPI:1811780521
Name:LARAMORE, KATHLEEN ANN (RN, BSN)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ANN
Last Name:LARAMORE
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 80
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05670-0080
Mailing Address - Country:US
Mailing Address - Phone:802-522-2476
Mailing Address - Fax:
Practice Address - Street 1:1082 US ROUTE 2
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:VT
Practice Address - Zip Code:05676-9057
Practice Address - Country:US
Practice Address - Phone:802-793-0906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026-0024900163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health