| Doctor Name: | MARY GILL |
| NPI Number: | 1033196639 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 1010018668 |
| Business Practice Address: | 110 Porter Drive Middlebury, VT - 05753 |
| Business Phone Number: | 8023887959 |
| Business Fax Number: | 8023888136 |
| Mailing Address: | 104 Porter Dr, MIDDLEBURY |
| State: | VT |
| Postal Code: | 057538527 |
| Phone Number: | 8023888808 |
| Fax Number: | 8023888322 |
| NPI Enumeration Date: | 12/27/2005 |
| NPI Last Update Date: | 09/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 1010018668 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |