Healthcare Provider Details

I. General information

NPI: 1588207773
Provider Name (Legal Business Name): MARCIA MARGARITA DUCLOS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2019
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

387 CANAL ST
BRATTLEBORO VT
05301-6616
US

IV. Provider business mailing address

387 CANAL ST
BRATTLEBORO VT
05301-6616
US

V. Phone/Fax

Practice location:
  • Phone: 802-267-4838
  • Fax: 802-281-3530
Mailing address:
  • Phone: 802-267-4838
  • Fax: 802-281-3530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2289603
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License Number2289603
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: