Healthcare Provider Details

I. General information

NPI: 1225033699
Provider Name (Legal Business Name): JULIA CLAYTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COLCHESTER AVE
BURLINGTON VT
05401-1473
US

IV. Provider business mailing address

617 RIVERSIDE AVE PO BOX 144
BURLINGTON VT
05401-1601
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-0000
  • Fax:
Mailing address:
  • Phone: 802-864-6309
  • Fax: 802-860-4313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number101-0092622
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberF000798
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: