Individual
MRS. ELISE MARIE MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5110 MIDDLEBURY COLLEGE, MIDDLEBURY, VT 05753
(802) 443-5135
Mailing address
934 NEW YORK STATE ROUTE 9N, TICONDEROGA, NY 12883
(518) 585-7739
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1010022133
VT
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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