Individual
MARGARET RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Mailing address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 264-8158
(802) 860-4313
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0550030357
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08V126
MVP
VT
01
—
29383
VERMONT MANAGED CARE
VT
05
—
9000277
—
VT
Enumeration date
10/10/2006
Last updated
08/20/2025
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