Individual
MARILYN T MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
9 HAYWOOD AVE, MOUNTAIN VIEW CENTER, RUTLAND, VT 05701-4832
(802) 775-0007
(802) 775-6895
Mailing address
9 TOWN LINE RD, MENDON, VT 05701-9635
(802) 775-0661
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
101-0019819
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0NP0905
—
VT
Enumeration date
02/20/2006
Last updated
07/08/2007
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