Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Superior Nurse Anesthesia

Organization Certified Registered Nurse Anesthetist · NPI 1205369832

Lake Superior Nurse Anesthesia is a Certified Registered Nurse Anesthetist in Colchester, Vermont. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

105 Westview Rd Ste 302
Colchester, VT 05446-8025
Phone: (802) 497-3371
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1205369832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Stone — Owner · (802) 989-2208
NPI enumeratedApril 11, 2017
Last updated in NPPESApril 20, 2017
Mailing addressPo Box 281, Underhill, VT 05489-0281