Individual
MS. MADELINE B MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11 HAYDENBERRY DR, MILTON, VT 05468-2200
(802) 846-1200
Mailing address
600 BLAIR PARK RD STE 285, WILLISTON, VT 05495-7586
(802) 288-1140
(802) 288-1144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1010016208
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015415
—
VT
Enumeration date
06/09/2008
Last updated
06/30/2023
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