Gill, Mary

Gill, Mary is an individual health care provider with primary practice located at 110 Porter Drive , Middlebury VT 05753. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gill, Mary can be contacted via phone (802) 388-7959.

Contact Information

Primary practice address
110 Porter Drive Middlebury VT 05753
Phone: (802) 388-7959
Fax: (802) 388-8136
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1010018668 Vermont

Profile Details

NPI number 1033196639
LBN Legal business name Gill, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Sep 16th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033196639 NPPES
Vermont MEDICAID 1011539

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