MEDICARE: AYLIN MCNULTY L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	091.0134112	VT

General Provider Information

NPI Number	:	1174329627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYLIN MCNULTY L.AC.

Provider Business Mailing Address
First Line	:	34 GEE HILL RD
Second Line	:
City	:	SOUTH ROYALTON
State	:	VT
Zip	:	05068-5146
Country	:	US
Telephone Number	:	802-224-6809
Fax Number	:

Provider Business Practice Location Address
First Line	:	58 N MAIN ST STE 209
Second Line	:
City	:	WHITE RIVER JUNCTION
State	:	VT
Zip	:	05001-7205
Country	:	US
Telephone Number	:	802-224-6809
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	02/24/2025

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Directions to “ AYLIN MCNULTY L.AC.” Practice Location

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