Individual provider · Type 1 NPI
Samantha Burnham Ingerick, NP
Pediatric Nurse Practitioner · Manchester, VT
NPI number
1457750234
Active
Practice location
4384 Main Street
Manchester, VT 05254-9207
Fax (802) 662-2173
Mailing address
PO Box 255
Manchester, VT 05254-0255
Other practice locations
- 289 County Rd, Windsor, VT 05089-9000 · (802) 674-7337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F382385-1 (NY) |
| Pediatric Nurse Practitioner | 363LP0200X | 088196-23 (NH) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 101.0134299 (VT) |
Pediatric Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1457750234
Samantha Burnham Ingerick, NP's National Provider Identifier is 1457750234, issued on Aug 18, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Manchester, VT. The record was last updated on Oct 23, 2023.