Macaulay, Leah Mariette

Macaulay, Leah Mariette is an individual health care provider with primary practice located at 51 Timber Ln , South Burlington VT 05403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Macaulay, Leah Mariette can be contacted via phone (802) 864-0521.

Contact Information

Primary practice address
51 Timber Ln South Burlington VT 05403
Fax: (802) 864-6475
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 101.0060740 Vermont

Profile Details

NPI number 1124357215
LBN Legal business name Macaulay, Leah Mariette
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2009
Last updated Jun 30th, 2023 - about 2 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 1124357215 NPPES
Vermont MEDICAID 1019167

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