Healthcare Provider Details

I. General information

NPI: 1851644579
Provider Name (Legal Business Name): MARGARET SARA AITKEN ANP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2012
Last Update Date: 10/10/2013
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

216 ROWELL BUILDING 106 CARRIGAN DRIVE UNIVERSITY OF VERMONT DEPT. OF NURSING
BURLINGTON VT
05405
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-3154
  • Fax:
Mailing address:
  • Phone: 802-656-5496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number101.0090481
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: