Giannoni, Mary Alice

Giannoni, Mary Alice is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Giannoni, Mary Alice can be contacted via phone (802) 847-8200.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Phone: (802) 847-8200
Fax: (802) 847-5364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1010009653 Vermont

Profile Details

NPI number 1720003692
LBN Legal business name Giannoni, Mary Alice
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jun 15th, 2010 - about 15 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 1720003692 NPPES
Vermont MEDICAID ONP1064

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