Provider Demographics
NPI:1679015366
Name:CIAMPA ZWICKY, KAYLA MICHELE (DNP, APRN, AGNP-C)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:MICHELE
Last Name:CIAMPA ZWICKY
Suffix:
Gender:F
Credentials:DNP, APRN, AGNP-C
Other - Prefix:DR
Other - First Name:KAYLA
Other - Middle Name:MICHELE
Other - Last Name:CIAMPA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:111 COLCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-1473
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 ESSEX WAY
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3394
Practice Address - Country:US
Practice Address - Phone:802-847-8354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-10
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT104.01246112255A2300X
VT026.0146790163W00000X
VT101.0137149363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No163W00000XNursing Service ProvidersRegistered Nurse