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NPI Code Detail

MEDICARE: ELISE NEWHALL EVERETT MD

MEDICARE:   ELISE NEWHALL EVERETT  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0201XGynecologic Oncology Physician307144NY
2207VX0201XGynecologic Oncology Physician042.0012288VT
3207V00000XObstetrics & Gynecology Physician307144NY
4207V00000XObstetrics & Gynecology Physician042.0012288VT

General Provider Information

NPI Number : 1295774818
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISE NEWHALL EVERETT MD
Provider Business Mailing Address
First Line : 111 COLCHESTER AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1473
Country : US
Telephone Number : 802-847-5110
Fax Number : 802-847-0496
Provider Business Practice Location Address
First Line : 111 COLCHESTER AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1473
Country : US
Telephone Number : 802-847-5110
Fax Number : 802-847-0496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 06/02/2026

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Directions to “ ELISE NEWHALL EVERETT MD” Practice Location

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