Individual
MR. GRANT M PICARILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
Mailing address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
757498
NY
363LF0000X
Family Nurse Practitioner
Primary
345957
NY
Other
Enumeration date
03/20/2020
Last updated
08/07/2025
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