Healthcare Provider Details

I. General information

NPI: 1619989746
Provider Name (Legal Business Name): MURIEL HELENE NATHAN M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 S PROSPECT ST
BURLINGTON VT
05401-3456
US

IV. Provider business mailing address

302 BRAND FARM DR
SOUTH BURLINGTON VT
05403-7551
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-4576
  • Fax: 802-847-2226
Mailing address:
  • Phone: 802-860-1655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: