Mcdonald, Marilyn T

Mcdonald, Marilyn T is an individual health care provider with primary practice located at 9 Haywood Ave Mountain View Center, Rutland VT 05701-4832. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Mcdonald, Marilyn T can be contacted via phone (802) 775-0007.

Contact Information

Primary practice address
9 Haywood Ave Mountain View Center Rutland VT 05701-4832
Phone: (802) 775-0007
Fax: (802) 775-6895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 101-0019819 Vermont

Profile Details

NPI number 1114992518
LBN Legal business name Mcdonald, Marilyn T
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1114992518 NPPES
Vermont MEDICAID 0NP0905

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