NPI 1720003692 · live from the CMS NPI Registry
Mary Alice Giannoni, N.P.
Nurse Practitioner, Pediatrics in Burlington, VT. National Provider Identifier 1720003692, active.
NPI record
| NPI | 1720003692 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 111 Colchester Ave, Burlington, VT 05401 |
| Practice phone | 802-847-8200 |
| Mailing address | 274 S Pasture Rd, Shelburne, VT 05482 |
| Enumerated | July 13, 2006 |
| Last updated | June 15, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1010009653 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.