NPI 1033196639 · live from the CMS NPI Registry
Mary Gill, NP
Nurse Practitioner, Pediatrics in Middlebury, VT. National Provider Identifier 1033196639, active.
NPI record
| NPI | 1033196639 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 110 Porter Drive, Middlebury, VT 05753 |
| Practice phone | 802-388-7959 |
| Mailing address | 104 Porter Dr, Middlebury, VT 05753 |
| Enumerated | December 27, 2005 |
| Last updated | September 16, 2008 |
| Sole proprietor | No |
| Other names | Mary Corcoran |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1010018668 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.