Healthcare Provider Details

I. General information

NPI: 1063303832
Provider Name (Legal Business Name): DANIELLE MCSALIS RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 WOODRIDGE RD
BERLIN VT
05602-9165
US

IV. Provider business mailing address

142 WOODRIDGE RD
BERLIN VT
05602-9165
US

V. Phone/Fax

Practice location:
  • Phone: 802-371-4700
  • Fax: 802-371-4728
Mailing address:
  • Phone: 802-371-4700
  • Fax: 802-371-4728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number101.0137704
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: