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NPI Code Detail

MEDICARE: NATALIE ANN NIMON

MEDICARE: NATALIE ANN NIMON
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
1363LF0000XFamily Nurse Practitioner101.0138779VT

General Provider Information

NPI Number : 1609731801
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE ANN NIMON
Provider Business Mailing Address
First Line : 152 ALLEN RD UNIT 243
Second Line :
City : SOUTH BURLINGTON
State : VT
Zip : 05403-3807
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 115 PORTER DR
Second Line :
City : MIDDLEBURY
State : VT
Zip : 05753-8629
Country : US
Telephone Number : 802-388-4701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2025
Last Update Date : 02/11/2026

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