Individual
NIAN WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 PRESERVE RD, SOUTH BURLINGTON, VT 05403-1208
(207) 768-1480
Mailing address
105 PRESERVE RD, SOUTH BURLINGTON, VT 05403-1208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
026.0153701
VT
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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