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GABRIELLE HELEN MIKULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
111 COLCHESTER AVE., BURLINGTON, VT 05401
(802) 847-8300
(802) 847-1523
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-4531
(802) 847-8510

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101-0016217
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12V001
MVP INSURANCE NUMBER
VT
01
28925
BC/BS
VT
01
7950468
CIGNA
VT
05
ONP0890
VT
Enumeration date
06/02/2005
Last updated
10/04/2013
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