# WHITE RIVER FAMILY PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518032564
- **Authorized official:** MARK M NUNLIST (MD)
- **Authorized official phone:** (802) 295-6132

## Contact information

- **Practice address:** 331 OLCOTT DRIVE, SUITE U3, WHITE RIVER JCT, VT 05001
- **Practice address phone:** (802) 295-6132
- **Practice address fax:** (802) 295-1358
- **Mailing address:** 331 OLCOTT DRIVE, SUITE U3, WHITE RIVER JCT, VT 05001
- **Mailing address phone:** (802) 295-6132
- **Mailing address fax:** (802) 295-1358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | VT | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 03/29/2021