Mary Gill
Nurse Practitioner - Pediatrics
110 Porter Drive
Middlebury
, Vermont 05753
Mary Gill
Nurse Practitioner - Pediatrics
110 Porter Drive
Middlebury
, Vermont 05753
(802) 388-8322
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mary Gill
- 104 Porter Dr
- Middlebury, VT
- Zip : 05753-8527
- Fax : (802) 388-8322
- Phone : (802) 388-8808
Second Address
- Mary Gill
- 110 Porter Drive
- Middlebury, VT
- Zip : 05753
- Fax : (802) 388-8136
- Phone : (802) 388-7959
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 1010018668 | VT |
National Provider Identifier
| NPI | 1033196639 |
|---|---|
| Provider Name | Mary Gill |
| First Address | Middlebury, VT 05753-8527 |
| Second Address | Middlebury, VT 05753 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2005 |
| Last Update Date | 16/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1011539 | (05) | VT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.