Individual provider · NPI-1

Mary Alice Giannoni, N.P.

Nurse Practitioner, Pediatrics · Burlington, VT

NPI number1720003692
StatusActive
Last updated in NPPESJun 15, 2010

Details

NPI
1720003692
Entity type
Individual (NPI-1)
Name
Mary Alice Giannoni
Credential
N.P.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 13, 2006
Last updated
Jun 15, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics1010009653VTYes

Practice location

111 Colchester Ave
Burlington, VT 05401-1473

Phone 802-847-8200 · Fax 802-847-5364

Mailing address

274 S Pasture Rd
Shelburne, VT 05482-7359

Phone 802-985-3131

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Pediatrics providers in Burlington, VT