| Doctor Name: | MS. MADELINE B MANN |
| NPI Number: | 1003075508 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 1010016208 |
| Business Practice Address: | 51 Timber Ln South Burlington, VT - 054035201 |
| Business Phone Number: | 8028640521 |
| Business Fax Number: | 8028646475 |
| Mailing Address: | 600 Blair Park Rd, Suite 190 WILLISTON |
| State: | VT |
| Postal Code: | 054957586 |
| Phone Number: | 8028724343 |
| Fax Number: | 8028720282 |
| NPI Enumeration Date: | 06/09/2008 |
| NPI Last Update Date: | 06/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1010016208 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |