Individual
MR. MILES COLISON DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
(802) 888-8888
(802) 888-8223
Mailing address
528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
(802) 888-8888
(802) 888-8223
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101.0138018
VT
Other
Enumeration date
08/24/2017
Last updated
08/06/2025
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