Individual
LEAH MARIETTE MACAULAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P
Contact information
Practice address
595 DORSET ST STE 4, SOUTH BURLINGTON, VT 05403-6240
(802) 489-5552
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
363L00000X
Nurse Practitioner
101.0060740
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101.0060740
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019167
—
VT
Enumeration date
12/18/2009
Last updated
05/20/2025
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