Provider Demographics
NPI:1992498687
Name:LETENDRE, ANNA JANE (APRN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:JANE
Last Name:LETENDRE
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ALDER LN
Mailing Address - Street 2:
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-2701
Mailing Address - Country:US
Mailing Address - Phone:978-895-8392
Mailing Address - Fax:
Practice Address - Street 1:5 ALDER LN
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-2701
Practice Address - Country:US
Practice Address - Phone:978-895-8392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0136243363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily