Individual provider · Type 1 NPI
Mary Gill, NP
Pediatric Nurse Practitioner · Middlebury, VT
NPI number
1033196639
Active
Practice location
110 Porter Drive
Middlebury, VT 05753
Fax (802) 388-8136
Mailing address
104 Porter Dr
Middlebury, VT 05753-8527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 1010018668 (VT) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1033196639
Mary Gill, NP's National Provider Identifier is 1033196639, issued on Dec 27, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Middlebury, VT. The record was last updated on Sep 16, 2008.