| Doctor Name: | ANN MARIE LICARI DRYDEN |
| NPI Number: | 1538239827 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, APRN |
| License Number: | 974 |
| Business Practice Address: | 756 Symonds Mill Rd Wolcott, VT - 056804238 |
| Business Phone Number: | 8027307219 |
| Business Fax Number: | |
| Mailing Address: | 756 Symonds Mill Rd, WOLCOTT |
| State: | VT |
| Postal Code: | 056804238 |
| Phone Number: | 8027307219 |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 03/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 974 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |