Active NPIIndividual provider

Dr. Mary E Kegelman, DNP, FNP-BC

Nurse Practitioner, Family in Winooski, Vermont

NPI Number1326109620
Practice location
Champlain Mill, 20 Winooski Falls Way, Suite 400, Winooski, VT 05404
Fax
302-351-7388
Last updated
December 6, 2019

Mary E Kegelman is a Nurse Practitioner, Family based in Winooski, VT. Mary E Kegelman practices in Winooski, VT and has the professional credentials of DNP, FNP-BC. The NPI Number for Mary E Kegelman is 1326109620 and holds a License No. LG-0001079 (DE). The current practice location address for Mary E Kegelman is Champlain Mill, 20 Winooski Falls Way, Suite 400, Winooski, VT 05404 and can be reached out via phone at 302-530-8906 and via fax at 302-351-7388.

Provider Profile Details

NPI Number
1326109620
Provider Name
Mary E Kegelman
Credential
DNP, FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
Champlain Mill, 20 Winooski Falls Way, Suite 400, Winooski, VT 05404
Phone Number
302-530-8906
Fax Number
302-351-7388
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
December 12, 2006
Last Update Date
December 6, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
Champlain Mill, 20 Winooski Falls Way
Suite 400
Winooski, VT 05404
State
Vermont
Zip
05404
Phone Number
302-530-8906
Fax Number
302-351-7388
Winooski, VT 05404Get directions →

Provider Business Mailing Address Details

Address
193 Christina Landing Dr
Wilmington, DE 19801-5253
City
Wilmington
State
DE
Zip
19801-5253
Phone Number
757-593-2562

License Information

License Number (1)
LG-0001079
License State (1)
DE
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
0024166503
License State (2)
VA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mary E Kegelman, DNP, FNP-BC?

The NPI number of Dr. Mary E Kegelman, DNP, FNP-BC is 1326109620. It was assigned on December 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mary E Kegelman, DNP, FNP-BC?

Dr. Mary E Kegelman, DNP, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in DE under license number LG-0001079.

Where does Dr. Mary E Kegelman, DNP, FNP-BC practice?

The practice location is Champlain Mill, 20 Winooski Falls Way, Suite 400, Winooski, VT 05404. The office can be reached at 302-530-8906 (phone) or 302-351-7388 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326109620 directly on the NPPES registry website.

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