Individual
MRS. MARJORIE E. DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
527 FERRY RD, CHARLOTTE, VT 05445-9555
(802) 425-2781
Mailing address
PO BOX 38, CHARLOTTE, VT 05445-0038
(802) 425-2781
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1010006857
VT
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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