Individual
DENISE AILEEN NIEMIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5452 U.S. RT. 5, STE. D, NEWPORT, VT 05855
(802) 334-6140
(802) 334-8271
Mailing address
5452 U.S. RT. 5, STE. D, NEWPORT, VT 05855
(802) 334-6140
(802) 334-8271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8000428
LADIES FIRST PROVIDER NUM
VT
05
—
VT.0007973
—
VT
Enumeration date
10/03/2006
Last updated
07/08/2007
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