NPI 1447378575 · live from the CMS NPI Registry
Equinox Family Medicine, PC
Nurse Practitioner, Primary Care in Manchester, VT. National Provider Identifier 1447378575, active.
NPI record
| NPI | 1447378575 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Primary Care 363LP2300X |
| Practice location | 3869 Main St., Manchester, VT 05254 |
| Practice phone | 802-362-1121 |
| Mailing address | Po Box 50, 3869 Main St., Manchester, VT 05254 |
| Enumerated | March 27, 2007 |
| Last updated | September 11, 2025 |
| Authorized official | Mara Liebling, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Nurse Practitioner, Primary Care primary | 363LP2300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.