Individual
MS. MARY JO GEHRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-1400
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-1400
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
101.0043918
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004195154
—
CT
01
—
243828
HEALTHNET
CT
01
—
400CNM151CT01
BC/BS
CT
01
—
515014
CONNECTICARE
CT
Enumeration date
10/11/2006
Last updated
09/12/2014
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