Healthcare Provider Details

I. General information

NPI: 1477335156
Provider Name (Legal Business Name): MAARA DEVI SINGH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 CREST RD
SAINT ALBANS VT
05478-9753
US

IV. Provider business mailing address

44 MAIN ST STE 200
RICHFORD VT
05476-1141
US

V. Phone/Fax

Practice location:
  • Phone: 802-524-4554
  • Fax:
Mailing address:
  • Phone: 802-255-5580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number101.0136424
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: