Healthcare Provider Details

I. General information

NPI: 1427179571
Provider Name (Legal Business Name): DONNA M POWELL ND,LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 MAIN ST
BURLINGTON VT
05401-8407
US

IV. Provider business mailing address

33 MAIN ST
BURLINGTON VT
05401-8407
US

V. Phone/Fax

Practice location:
  • Phone: 802-863-7099
  • Fax: 802-863-8713
Mailing address:
  • Phone: 802-863-7099
  • Fax: 802-863-8713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number099-0000003
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: