Individual
ANN MARIE LICARI DRYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN
Contact information
Practice address
756 SYMONDS MILL RD, WOLCOTT, VT 05680-4238
(802) 730-7219
Mailing address
756 SYMONDS MILL RD, WOLCOTT, VT 05680-4238
(802) 730-7219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
101.0024283
VT
363LF0000X
Family Nurse Practitioner
974
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
101.0024283
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
974
AK
Other
Enumeration date
11/08/2006
Last updated
05/11/2017
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