Individual
DEBRA MALONEY-EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
87 PAINE MOUNTAIN DRIVE, GREEN MOUNTAIN FAMILY PRACTICE, NORTHFIELD, VT 05663-0000
(802) 485-4161
(802) 485-4163
Mailing address
PO BOX 547, CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT, BARRE, VT 05641-0547
(802) 485-4161
(802) 485-4163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0017795
VT
364SF0001X
Family Health Clinical Nurse Specialist
101-0017795
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00048789
BLUE CROSS
VT
05
—
0NP2112
—
VT
01
—
8000179
LADIES FIRST
VT
Enumeration date
08/15/2006
Last updated
06/03/2015
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