Individual
MARY ALICE GIANNONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-8200
(802) 847-5364
Mailing address
274 S PASTURE RD, SHELBURNE, VT 05482-7359
(802) 985-3131
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1010009653
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ONP1064
—
VT
Enumeration date
07/13/2006
Last updated
06/15/2010
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